Provider Demographics
NPI:1528230505
Name:OWENS, SELIKA RENEE (MD)
Entity Type:Individual
Prefix:
First Name:SELIKA
Middle Name:RENEE
Last Name:OWENS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2626 REAGAN ST
Mailing Address - Street 2:#404
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-3305
Mailing Address - Country:US
Mailing Address - Phone:469-834-2161
Mailing Address - Fax:
Practice Address - Street 1:2626 REAGAN ST
Practice Address - Street 2:#404
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-3305
Practice Address - Country:US
Practice Address - Phone:469-834-2161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-30
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP0109208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics