MEDICARE: ELLIOT OLENCHEK DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	692039	TX
2	213E00000X	Podiatrist	692039	TX

General Provider Information

NPI Number	:	1588293856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLIOT OLENCHEK DPM

Provider Business Mailing Address
First Line	:	8122 DATAPOINT DR STE 720
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3479
Country	:	US
Telephone Number	:	210-899-1026
Fax Number	:

Provider Business Practice Location Address
First Line	:	3303 ROGERS RD STE 250
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-3688
Country	:	US
Telephone Number	:	210-899-1026
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2020
Last Update Date	:	02/05/2026

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Directions to “ ELLIOT OLENCHEK DPM” Practice Location

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