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Organization

FAMILY CARE CENTER QUITMAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT J OLSON MD (PRESIDENT)
(903) 763-2421
Entity
Organization

Contact information

Practice address
606 E GOODE STREET, SUITE 100, QUITMAN, TX 75783-2541
(903) 763-2421
(903) 763-0812
Mailing address
606 E GOODE STREET, SUITE 100, QUITMAN, TX 75783-2541
(903) 763-2421
(903) 763-0812

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0059JF
BC
05
153779701
TX
Enumeration date
09/21/2006
Last updated
07/27/2010
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