Provider Demographics
NPI:1003904756
Name:OLMSTED, WILLIAM ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ROBERT
Last Name:OLMSTED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8330 MEADOW RD
Mailing Address - Street 2:STE 114
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-3767
Mailing Address - Country:US
Mailing Address - Phone:214-878-7442
Mailing Address - Fax:214-750-1971
Practice Address - Street 1:8330 MEADOW RD
Practice Address - Street 2:STE 114
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-3767
Practice Address - Country:US
Practice Address - Phone:214-878-7442
Practice Address - Fax:214-750-1971
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ15502084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry