| Owen Health Group, Pllc | |
|
5028 122nd St Lubbock TX 79424-8398 | |
| (806) 392-0403 | |
| Not Available |
| Full Name | Owen Health Group, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5028 122nd St, Lubbock, Texas |
| Authorized Official Name and Position | Jeff M Owen (PARTNER) |
| Authorized Official Contact | 8063920403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Owen Health Group, Pllc 5028 122nd St Lubbock TX 79424-8398 Ph: (806) 392-0403 | Owen Health Group, Pllc 5028 122nd St Lubbock TX 79424-8398 Ph: (806) 392-0403 |
| NPI Number | 1861930703 |
|---|---|
| Provider Enumeration Date | 02/10/2017 |
| Last Update Date | 09/27/2023 |
| Medicare PECOS PAC ID | 2769767839 |
|---|---|
| Medicare Enrollment ID | O20170403000832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861930703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | L9837 (Texas) | Secondary |
| Provider Name | Jennifer M Owen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477517555 PECOS PAC ID: 7719911692 Enrollment ID: I20050920001158 |
| Provider Name | Jeffrey M Owen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427218213 PECOS PAC ID: 3173682309 Enrollment ID: I20081103000703 |
| Provider Name | Wendy Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366927683 PECOS PAC ID: 9133472012 Enrollment ID: I20181023000484 |
| Provider Name | Carlie J Bean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750859492 PECOS PAC ID: 3375871189 Enrollment ID: I20190816003083 |
| Provider Name | Kylie Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326728064 PECOS PAC ID: 7517328529 Enrollment ID: I20230807001245 |
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