Individual
DR. JERRY GEORGE OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6711 S NEW BRAUNFELS AVE, SUITE 100, SAN ANTONIO, TX 78223-3005
(210) 531-7716
(210) 531-7478
Mailing address
33 LYNN BATTS, APARTMENT # 3203, SAN ANTONIO, TX 78218-3000
(210) 820-3225
(210) 567-8414
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J5112
TX
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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