Organization Active NPI

Loren C. Owensby MD PA

  • Gastroenterology Physician
  • Victoria, TX
National Provider Identifier
1750719704
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
E8095 Issued in TX
Legal business name
LOREN C. OWENSBY MD PA
Practice address
601 E San Antonio St
Suite 305
Victoria, TX 77901-6004
Phone
(361) 578-0324
Fax
(361) 578-9250
NPI assigned
Oct 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Loren C. Owensby, M.D.
Title
President
Phone
(361) 578-0324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X E8095 TX Primary

Addresses

Primary practice location

601 E San Antonio St
Suite 305
Victoria, TX 77901-6004

Mailing address

601 E San Antonio St
Suite 305
Victoria, TX 77901-6004
Phone (361) 578-0324

Other identifiers 1

IdentifierTypeStateIssuer
035325201MedicaidTX

National Provider Directory

National Provider Directory

Locations

601 E San Antonio St
Ste 305
Victoria, TX 77901
Phone (361) 578-0324

601 E San Antonio St
#305
Victoria, TX 77901
Phone (361) 578-0324

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1750719704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E SAN ANTONIO ST",
            "address_2": "SUITE 305",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016004",
            "telephone_number": "361-578-0324",
            "fax_number": "361-578-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E SAN ANTONIO ST",
            "address_2": "SUITE 305",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016004",
            "telephone_number": "361-578-0324",
            "fax_number": "361-578-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOREN C. OWENSBY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "OWENSBY",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-578-0324",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "E8095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035325201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.