Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 11602 | TX |
NPI | 1154614600 |
---|---|
Provider Name | Dr. Hillary M Owen |
First Address | San Antonio, TX 78232-5052 |
Second Address | Arlington, TX 76014-3174 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2011 |
Last Update Date | 08/08/2013 |