Organization
OLSV3 PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK BRYAN WILIAMSON MD (PRINCIPLE PHYSICIAN)
(713) 799-2300
Entity
Organization
Contact information
Practice address
3414 GOLDEN RD, TYLER, TX 75701-8336
(713) 799-2300
Mailing address
3414 GOLDEN RD, TYLER, TX 75701-8336
(713) 799-2300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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