Whalio Doctors

NPI 1073591350

Jerry Bryan Owen, DO

Practitioner Preventive Medicine/Occupational Environmental Medicine Physician Jbsa Lackland, TX

Practice location

Address
1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638
Phone
(210) 671-4516

Registered specialties

Preventive Medicine/Occupational Environmental Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083P0500X Licence F7019 (TX)

Registry record

NPI
1073591350
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Jan 2006
Record last updated
12 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.