Skip Navigation

Provider Information for 1255596045



DR. ANN MARIE OLSON

Gender: FEMALE

Individual NPI: 1255596045

Calendar Last Updated: 2008-07-22

Details

Name Value
NPI 1255596045
Enumeration Date 2008-07-22
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 11623 ANGUS RD STE 23
AUSTIN, TX 78759-4041
United States

Phone: 512-345-9973 | Fax: 512-345-9664
View Map External Link
Primary Practice Address 11623 ANGUS RD STE 23
AUSTIN, TX 78759-4041
United States

Phone: 512-345-9973 | Fax: 512-345-9664
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist TX 15655
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location