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Organization

OLSV1 PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACK BRYAN WILLIAMSON MD (PRINCIPLE PHYSICIAN)
(713) 799-2300
Entity
Organization

Contact information

Practice address
7401 MAIN ST, HOUSTON, TX 77030-4509
(713) 799-2300
Mailing address
7401 MAIN ST, HOUSTON, TX 77030-4509
(713) 799-2300

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
06/19/2019
Last updated
06/19/2019
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