Individual provider · Type 1 NPI
Jodi Owens, PA-C
Medical Physician Assistant · Lakeway, TX
NPI number
1629321047
Active
Practice location
1700 RR 620 S, Suite B
Lakeway, TX 78734-6245
Fax (512) 263-3122
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA02553 (TX) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
Other medical physician assistant providers in Lakeway
About NPI 1629321047
Jodi Owens, PA-C's National Provider Identifier is 1629321047, issued on Oct 23, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lakeway, TX. The record was last updated on May 12, 2023.