STEPHEN MARK OLMSTEAD DO
Allergy and Immunology
Garland, Texas
Provider NPI: 1346298890
Provider Information:STEPHEN MARK OLMSTEAD DO
Practice Location:
7150 N GEORGE BUSH HWY SUITE 204 GARLAND, TX 75044 US
Tel: 972-463-3406 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207K00000X | Physicians Allergy & Immunology | TX | J8336 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 155797703 | TX | 05 | |
| 155797704 | TX | 05 | |
| BCBS PROVIDER ID | 8A6160 | TX | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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