Individual
GINNY LEIGH OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
901 W BEN WHITE BLVD, AUSTIN, TX 78704-6903
(512) 326-2800
Mailing address
4310 JAMES CASEY ST STE 3C, AUSTIN, TX 78745-1120
(512) 326-2800
(512) 441-6388
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA11800
TX
363AS0400X
Surgical Physician Assistant
Primary
PA11800
TX
Other
Enumeration date
03/06/2018
Last updated
03/08/2021
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