Garcia, Olaf Russell

Garcia, Olaf Russell is an individual health care provider with primary practice located at 4495 Wandering Vine Trl , Round Rock TX 78665-1266. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Garcia, Olaf Russell can be contacted via phone (512) 840-1158.

Contact Information

Primary practice address
4495 Wandering Vine Trl Round Rock TX 78665-1266
Phone: (512) 840-1158
Fax: (512) 777-5974
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X AP139504 Texas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP139504 Texas

Profile Details

NPI number 1073178703
LBN Legal business name Garcia, Olaf Russell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2019
Last updated Dec 15th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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