Provider Demographics
NPI:1982244612
Name:OWENS, DOUGLAS SHAWN (DVM, MS)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:SHAWN
Last Name:OWENS
Suffix:
Gender:M
Credentials:DVM, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 E SONTERRA BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4059
Mailing Address - Country:US
Mailing Address - Phone:210-202-9013
Mailing Address - Fax:
Practice Address - Street 1:503 E SONTERRA BLVD STE 102
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4059
Practice Address - Country:US
Practice Address - Phone:210-930-8383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-10
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15625207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine