Provider Demographics
NPI:1366738866
Name:OWENS, CABE MICHAEL (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:CABE
Middle Name:MICHAEL
Last Name:OWENS
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1789
Mailing Address - Street 2:
Mailing Address - City:CROSBY
Mailing Address - State:TX
Mailing Address - Zip Code:77532-1789
Mailing Address - Country:US
Mailing Address - Phone:281-346-3480
Mailing Address - Fax:281-462-4106
Practice Address - Street 1:4008 VISTA RD STE A100
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-2127
Practice Address - Country:US
Practice Address - Phone:888-824-1470
Practice Address - Fax:888-824-1470
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-22
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1551204R00000X, 2084N0600X
CA1370892084N0600X
TN504602084N0600X
NY2823392084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
No204R00000XAllopathic & Osteopathic PhysiciansElectrodiagnostic Medicine