Provider Demographics
NPI:1194792739
Name:OWENS, ROBERT M (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:M
Last Name:OWENS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6509 W PLANO PKWY
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8209
Mailing Address - Country:US
Mailing Address - Phone:972-781-1462
Mailing Address - Fax:972-378-4125
Practice Address - Street 1:6509 W PLANO PKWY
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8209
Practice Address - Country:US
Practice Address - Phone:972-781-1462
Practice Address - Fax:972-378-4125
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8401207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX039138501Medicaid
TX039138501Medicaid
TX8177J0Medicare ID - Type Unspecified
TXG06023Medicare UPIN