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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
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist TX 15655