Dr. Mary L Olsen
Rheumatology
3030 North St Suite 450
Beaumont
, Texas 77702-1433
Dr. Mary L Olsen
Rheumatology
3030 North St Suite 450
Beaumont
, Texas 77702-1433
(409) 832-9610
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Dr. Mary L Olsen
- 3030 North St Suite 450
- Beaumont, TX
- Zip : 77702-1433
- Fax : (409) 832-9610
- Phone : (409) 832-9600
Second Address
- Dr. Mary L Olsen
- 3030 North St Suite 450
- Beaumont, TX
- Zip : 77702-1433
- Fax : (409) 832-9610
- Phone : (409) 832-9600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | G5447 | TX |
National Provider Identifier
| NPI | 1083723753 |
|---|---|
| Provider Name | Dr. Mary L Olsen |
| First Address | Beaumont, TX 77702-1433 |
| Second Address | Beaumont, TX 77702-1433 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/08/2006 |
| Last Update Date | 10/10/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C20042 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.