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Individual

OLENA NAKONECHNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3706 S 1ST ST, AUSTIN, TX 78704-7046
(512) 324-4973
(512) 324-4948
Mailing address
3706 S 1ST ST, AUSTIN, TX 78704-7046
(512) 324-4973
(512) 324-4948

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M1966
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1744872-04
TX
01
8D9219
MEDICARE
TX
Enumeration date
01/17/2008
Last updated
08/08/2012
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