| R.j. Owen. Pllc | |
|
100 San Elizario Rd Clint TX 79836-6738 | |
| (915) 851-8900 | |
| Not Available |
| Full Name | R.j. Owen. Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 San Elizario Rd, Clint, Texas |
| Authorized Official Name and Position | Richard James Owen (DENTIST/OWNER) |
| Authorized Official Contact | 9158518900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R.j. Owen. Pllc 100 San Elizario Rd Clint TX 79836-6738 Ph: (915) 851-8900 | R.j. Owen. Pllc 100 San Elizario Rd Clint TX 79836-6738 Ph: (915) 851-8900 |
| NPI Number | 1053800227 |
|---|---|
| Provider Enumeration Date | 05/03/2018 |
| Last Update Date | 05/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053800227 | NPI | - | NPPES |
| 24670031 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 33869 (Texas) | Primary |