Individual
DR. DAVID W. OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5603 BEAVER LODGE DR, KINGWOOD, TX 77345-1745
(281) 361-5266
(281) 361-6684
Mailing address
5603 BEAVER LODGE DR, KINGWOOD, TX 77345-1745
(281) 361-5266
(281) 361-6684
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J1747
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105583203
—
TX
01
—
1194749432
TRICARE SOUTH
TX
05
—
137416704
—
TX
05
—
137416711
—
TX
01
—
8AC840
BCBSTX PROV NO
TX
Enumeration date
07/27/2006
Last updated
04/16/2010
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