Provider Demographics
NPI:1134231905
Name:STEPHEN F OWEN
Entity type:Organization
Organization Name:STEPHEN F OWEN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR OF SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:OWEN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:325-691-9000
Mailing Address - Street 1:2125 S 20TH ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-6066
Mailing Address - Country:US
Mailing Address - Phone:325-691-9000
Mailing Address - Fax:325-691-0845
Practice Address - Street 1:2125 S 20TH ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605-6066
Practice Address - Country:US
Practice Address - Phone:325-691-9000
Practice Address - Fax:325-691-0845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX131103336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0212940001Medicare NSC