Olson, David W.
Olson, David W. is an individual health care provider with primary practice located at 5603 Beaver Lodge Dr , Kingwood TX 77345-1745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Olson, David W. can be contacted via phone (281) 361-5266.Contact Information
Primary practice address
5603 Beaver Lodge Dr
Kingwood TX 77345-1745
Phone: (281) 361-5266
Fax: (281) 361-6684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | J1747 | Texas |
Profile Details
| NPI number | 1194749432 |
|---|---|
| LBN Legal business name | Olson, David W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Apr 16th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194749432 | NPPES |
| Texas | Other | 8AC840 | BCBSTX PROV NO |
| Texas | MEDICAID | 137416711 | BCBSTX PROV NO |
| Texas | MEDICAID | 105583203 | BCBSTX PROV NO |
| Texas | MEDICAID | 137416704 | BCBSTX PROV NO |
| Texas | Other | 1194749432 | BCBSTX PROV NO |
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