Doctor Name: | DONNA J OLSON |
NPI Number: | 1235191776 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | PA00025 |
Business Practice Address: | 3901 Treemont Cir Colleyville, TX - 760348718 |
Business Phone Number: | 6827388079 |
Business Fax Number: | 8173942278 |
Mailing Address: | 3901 Treemont Cir, COLLEYVILLE |
State: | TX |
Postal Code: | 760348718 |
Phone Number: | 6827388079 |
Fax Number: | 8173942278 |
NPI Enumeration Date: | 04/03/2006 |
NPI Last Update Date: | 06/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | PA00025 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |