Doctor Name: | MR. MICHAEL PAUL OLDEN |
NPI Number: | 1194801837 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | HT,OST,C-PED,PMAC |
License Number: | |
Business Practice Address: | 3600 Memorial Blvd # 11c Kerrville, TX - 780285768 |
Business Phone Number: | 8307922660 |
Business Fax Number: | |
Mailing Address: | 404 Circle Ave, KERRVILLE |
State: | TX |
Postal Code: | 780284122 |
Phone Number: | 8308960442 |
Fax Number: | |
NPI Enumeration Date: | 10/27/2006 |
NPI Last Update Date: | 10/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |