Mary L Olsen MD PA
Internal Medicine, Rheumatology in Beaumont, TX. Organization (NPI-2).
NPI number1245306067
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1245306067
- Entity type
- Organization (NPI-2)
- Legal business name
- Mary L Olsen MD PA
- Organization subpart
- No
- Enumeration date
- Nov 24, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RR0500X | Internal Medicine, Rheumatology | TexasG5447 | TX | Yes |
Other names
- Dba Southeast Texas Rheumatology Associates (Doing Business As)
Practice location
3070 College StreetSuite 205
Beaumont, TX 77701
Phone 409-832-9600 · Fax 409-832-9610
Mailing address
3070 College StreetSuite 205
Beaumont, TX 77701
Phone 409-832-9600 · Fax 409-832-9610
Authorized official
Mary L Olsen
President
4098329600
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