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NPI Code Detail

MEDICARE: DR. ERIC CHRISTOPHER OLSON D.C.

MEDICARE: DR. ERIC CHRISTOPHER OLSON D.C.
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
1111N00000XChiropractor13119TX

General Provider Information

NPI Number : 1649638537
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC CHRISTOPHER OLSON D.C.
Provider Business Mailing Address
First Line : 3219 SOUTHWESTERN BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75225-7652
Country : US
Telephone Number : 214-537-2261
Fax Number : 214-691-3809
Provider Business Practice Location Address
First Line : 911 CENTRAL PKWY N STE 300
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78232-5053
Country : US
Telephone Number : 210-477-4965
Fax Number : 210-468-0682
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2016
Last Update Date : 02/05/2016

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