Olive, Trevelyn

Olive, Trevelyn is an individual health care provider with primary practice located at 515 W Mayfield Rd Ste 200, Arlington TX 76014-2083. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Olive, Trevelyn can be contacted via phone (817) 468-4689.

Contact Information

Primary practice address
515 W Mayfield Rd Ste 200 Arlington TX 76014-2083
Fax: (817) 465-7872
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X M1992 Texas

Profile Details

NPI number 1871581678
LBN Legal business name Olive, Trevelyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Aug 9th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871581678 NPPES
Texas MEDICAID 176627101

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