Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 4301104429 | MI |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 0101260680 | VA |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | Q5240 | TX |
NPI | 1942443312 |
---|---|
Provider Name | Dr. James Antwi Owusu |
First Address | Houston, TX 77030-1501 |
Second Address | Shenandoah, TX 77380-3242 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2009 |
Last Update Date | 02/06/2021 |