Individual
DR. CAROLYN OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1458 CAMPBELL RD STE 150, HOUSTON, TX 77055-4654
(713) 461-2822
Mailing address
1458 CAMPBELL RD STE 150, HOUSTON, TX 77055-4654
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
E8775
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00FE88
BCBS PROVIDER #
—
Enumeration date
10/24/2006
Last updated
07/12/2007
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