| Doctor Name: | OLHA BOVDA |
| NPI Number: | 1013397793 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AGNP |
| License Number: | AP127549 |
| Business Practice Address: | 2821 E President George Bush Hwy Ste 500 Richardson, TX - 750824278 |
| Business Phone Number: | 4692066957 |
| Business Fax Number: | 4692066953 |
| Mailing Address: | 2821 E President George Bush Hwy Ste 500, RICHARDSON |
| State: | TX |
| Postal Code: | 750824278 |
| Phone Number: | 4692066957 |
| Fax Number: | 4692066953 |
| NPI Enumeration Date: | 06/08/2015 |
| NPI Last Update Date: | 06/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | AP127549 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |