Individual
EDWIN OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 W COLORADO, STE 831, DALLAS, TX 75208
(214) 946-8856
(214) 946-5848
Mailing address
PO BOX 975300, DALLAS, TX 75937-5300
(214) 946-8856
(214) 946-5848
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
J1338
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047039501
—
TX
01
—
060020985
RAILROAD MEDICARE
—
01
—
88K980
BCBS
—
Enumeration date
06/15/2006
Last updated
06/01/2016
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