Provider Demographics
NPI:1578683272
Name:NEWLAND OWENS, CHRISTY L (BHRS)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:L
Last Name:NEWLAND OWENS
Suffix:
Gender:F
Credentials:BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 E EMPORIA AVE
Mailing Address - Street 2:
Mailing Address - City:PONCA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:74601-2816
Mailing Address - Country:US
Mailing Address - Phone:580-765-5108
Mailing Address - Fax:
Practice Address - Street 1:429 BARNES
Practice Address - Street 2:
Practice Address - City:ALVA
Practice Address - State:OK
Practice Address - Zip Code:73717
Practice Address - Country:US
Practice Address - Phone:580-327-1010
Practice Address - Fax:580-327-1010
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator