MEDICARE: CHRISTOPHER EVAN OLSON M.D.

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	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	L2521	TX
2	207X00000X	Orthopaedic Surgery Physician	L2521	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	H08LR61901	OTHER	TX	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639118813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER EVAN OLSON M.D.

Provider Business Mailing Address
First Line	:	2102 TREASURE HILLS BLVD # 3.14406
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550-8736
Country	:	US
Telephone Number	:	956-296-1437
Fax Number	:	956-296-6842

Provider Business Practice Location Address
First Line	:	2106 TREASURE HILLS BLVD # 1.326
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550-8736
Country	:	US
Telephone Number	:	956-296-1519
Fax Number	:	956-296-1331

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

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	01/15/2020

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