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Individual

JAMES E OLMSTED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6901 MEDICAL PKWY, RADIOLOGY DEPARTMENT, WACO, TX 76712-7910
(903) 663-7393
(903) 663-7394
Mailing address
4777 US HIGHWAY 259, LONGVIEW, TX 75605-7668
(903) 663-7393
(903) 663-7394

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
J4948
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
125249602
TX
05
125249604
TX
Enumeration date
03/24/2006
Last updated
08/15/2013
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