1083966493 NPI number — CABE OWENS MD PHD PLLC

Table of content: (NPI 1083966493)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083966493 NPI number — CABE OWENS MD PHD PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CABE OWENS MD PHD PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NEUROSENTINEL PHYSICIAN SERVICES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083966493
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/08/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1789
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CROSBY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77532-1789
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-346-3480
Provider Business Mailing Address Fax Number:
281-462-4106

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4008 VISTA RD STE A100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PASADENA
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77504-2127
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-824-1470
Provider Business Practice Location Address Fax Number:
832-864-2739
Provider Enumeration Date:
10/09/2012

Additional Information

Authorized Official

Authorized Official Last Name:
OWENS
Authorized Official First Name:
CABE
Authorized Official Middle Name:
MICHAEL
Authorized Official Title or Position:
NEUROPHYSIOLOGIST
Authorized Official Telephone Number:
888-824-1470

Provider Taxonomy Codes

  • Taxonomy code: 204R00000X , with the licence number:  J1551 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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