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Individual
THERESA M OLFSON
Active
Individual
THERESA M OLFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K6199
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061DB
BCBS
TX
05
—
030149101
—
TX
Enumeration date
06/01/2006
Last updated
02/11/2008
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