Provider Demographics
NPI:1760819338
Name:OWAIS, ARWA ISSA (BDS, ABPD, ABDPH)
Entity Type:Individual
Prefix:DR
First Name:ARWA
Middle Name:ISSA
Last Name:OWAIS
Suffix:
Gender:F
Credentials:BDS, ABPD, ABDPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14005 N HWY 183 STE 800
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-5960
Mailing Address - Country:US
Mailing Address - Phone:512-266-7200
Mailing Address - Fax:319-335-7450
Practice Address - Street 1:14005 N HWY 183 STE 800
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78717-5960
Practice Address - Country:US
Practice Address - Phone:319-400-4554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-27
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX328751223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1760819338OtherPURE DENTAL BRANDS