Provider Demographics
NPI:1023334588
Name:O B TOWERY MD INC
Entity type:Organization
Organization Name:O B TOWERY MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OWEN
Authorized Official - Middle Name:BOOKER
Authorized Official - Last Name:TOWERY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-674-0800
Mailing Address - Street 1:1000 BURNETT AVE STE 435
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-2088
Mailing Address - Country:US
Mailing Address - Phone:925-674-0800
Mailing Address - Fax:925-687-4032
Practice Address - Street 1:1000 BURNETT AVE STE 435
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-2088
Practice Address - Country:US
Practice Address - Phone:925-674-0800
Practice Address - Fax:925-687-4032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC422342084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty