Organization Active NPI

Kevin J Owens

  • Physiological Laboratory
  • Dickinson, TX
National Provider Identifier
1710278585
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
KEVIN J OWENS
Practice address
2401 FM 646 Rd W
Suite B
Dickinson, TX 77539-3249
Phone
(512) 446-4502
Fax
(512) 446-0084
NPI assigned
Apr 27, 2011
Last updated
Apr 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kevin J Owens
Title
President
Phone
(512) 446-4502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X NU Primary

Addresses

Primary practice location

2401 FM 646 Rd W
Suite B
Dickinson, TX 77539-3249

Mailing address

209 Watersong LN
Georgetown, TX 78628-6954
Phone (512) 446-4502

National Provider Directory

National Provider Directory

Locations

2401 FM 646 Rd W
Ste B
Dickinson, TX 77539
Phone (281) 534-3700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1710278585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 WATERSONG LN",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786286954",
            "telephone_number": "512-446-4502",
            "fax_number": "512-446-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 FM 646 RD W",
            "address_2": "SUITE B",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775393249",
            "telephone_number": "512-446-4502",
            "fax_number": "512-446-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN J OWENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-446-4502"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.