Individual
CHRISTIAN L OLYMPIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 W TERRELL AVE, 2ND FLOOR, FORT WORTH, TX 76104-2820
(817) 820-4906
Mailing address
1300 W TERRELL AVE, 2ND FLOOR, FORT WORTH, TX 76104-2820
(817) 820-4906
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.085070
OH
207R00000X
Internal Medicine Physician
Primary
N8232
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2525431
—
OH
Enumeration date
11/02/2005
Last updated
03/05/2011
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