Provider Demographics
NPI:1366672594
Name:OWENS, CHARLES TAYLOR II (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:TAYLOR
Last Name:OWENS
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:5910 N CENTRAL EXPY STE 1680
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-0936
Mailing Address - Country:US
Mailing Address - Phone:697-505-1024
Mailing Address - Fax:214-420-9353
Practice Address - Street 1:5910 N CENTRAL EXPY STE 1680
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-0936
Practice Address - Country:US
Practice Address - Phone:469-750-5102
Practice Address - Fax:214-420-9353
Is Sole Proprietor?:No
Enumeration Date:2009-07-22
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ0143207RN0300X, 207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program