Organization
JPSHEALTH NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NELS KERMIT OLSON (PHYSICIAN)
(817) 927-1395
Entity
Organization
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 927-1395
(817) 927-3603
Mailing address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 927-1395
(817) 927-3603
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
D1758
TX
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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