Provider Demographics
NPI:1760613590
Name:OWENS, JASON WOODROW (DC)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:WOODROW
Last Name:OWENS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1460 E WHITESTONE BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-2276
Mailing Address - Country:US
Mailing Address - Phone:512-823-0333
Mailing Address - Fax:512-823-0334
Practice Address - Street 1:1460 E WHITESTONE BLVD STE 220
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2276
Practice Address - Country:US
Practice Address - Phone:512-823-0333
Practice Address - Fax:512-823-0334
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-28
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11185111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1558545368OtherFACILITY NPI
TX1558545368OtherFACILITY NPI