MARY L OLSEN MD PA; NPI #1245306067

Contact Information

MARY L OLSEN MD PA

3070 COLLEGE STREET
SUITE 205
BEAUMONT, TX 77701

Phone: 409-832-9600
Fax: 409-832-9610
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rheumatology	207RR0500X	11	Physician/Internal Medicine

Indicates primary specialty

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NPI Profile & details for MARY L OLSEN MD PA

NPI # 1245306067

LBN Legal business name MARY L OLSEN MD PA

Authorized official MARY OLSEN - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/24/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

TEXASG5447

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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