Provider Demographics
NPI:1225860018
Name:OWENS, ZANE MATTHEW (DPT)
Entity type:Individual
Prefix:DR
First Name:ZANE
Middle Name:MATTHEW
Last Name:OWENS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
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Mailing Address - Street 1:1209 W BLUFF ST
Mailing Address - Street 2:
Mailing Address - City:WOODVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75979-4739
Mailing Address - Country:US
Mailing Address - Phone:409-200-2804
Mailing Address - Fax:409-200-2997
Practice Address - Street 1:210 W PARK STE 101
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:TX
Practice Address - Zip Code:77351-8337
Practice Address - Country:US
Practice Address - Phone:936-327-8080
Practice Address - Fax:936-327-8086
Is Sole Proprietor?:No
Enumeration Date:2024-08-19
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1399111225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist