Individual
DR. OLIVIA IVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D. MPH AAHIVS
Contact information
Practice address
2927 GUADALUPE ST, AUSTIN, TX 78705-3721
(512) 640-3100
(833) 687-1671
Mailing address
6255 W SUNSET BLVD FL 21, LOS ANGELES, CA 90028-7422
(323) 860-5200
(323) 467-7119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT197947
PA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
S6386
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
322610
LOUISIANA MEDICAL LICENSE
LA
01
—
MT197947
PA TRAINING LICENSE
PA
01
—
S6386
TEXAS MEDICAL LICENSE
TX
Enumeration date
12/02/2010
Last updated
01/14/2026
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