Individual
DR. GREGORY D. OLSOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
(254) 215-9699
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD44513
TN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
L0470
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
MD44513
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1511447
—
TN
01
—
4213335
BLUECROSS BLUESHIELD
—
Enumeration date
03/31/2006
Last updated
01/06/2021
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