Lee, Olha

Lee, Olha is an individual health care provider with primary practice located at 2801 E Broad St , Mansfield TX 76063-9128. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lee, Olha can be contacted via phone (817) 375-5200.

Contact Information

Primary practice address
2801 E Broad St Mansfield TX 76063-9128
Phone: (817) 375-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1093476251
LBN Legal business name Lee, Olha
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2022
Last updated Mar 16th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1093476251 NPPES
Texas Other PA15394 TEXAS MEDICAL BOARD

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