Provider Demographics
NPI:1982711297
Name:OWUSU, KWABENA (MD)
Entity type:Individual
Prefix:DR
First Name:KWABENA
Middle Name:
Last Name:OWUSU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4803 N PINE BROOK WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-3161
Mailing Address - Country:US
Mailing Address - Phone:281-990-8665
Mailing Address - Fax:
Practice Address - Street 1:4200 TWELVE OAKS
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-6812
Practice Address - Country:US
Practice Address - Phone:713-964-8600
Practice Address - Fax:713-622-8993
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2526207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine