Individual
ANGELLE M OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10401 ANDERSON MILL RD, SUITE 110B, AUSTIN, TX 78750-2581
(512) 250-5571
(512) 406-7300
Mailing address
6210 US-290, SUITE 240, AUSTIN, TX 78723
(512) 231-5506
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M5157
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186760801
—
TX
05
—
186760802
—
TX
05
—
186760803
—
TX
05
—
186760805
—
TX
Enumeration date
07/08/2006
Last updated
05/24/2021
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