Provider Demographics
NPI:1659562759
Name:OLA G. CAVERLY, M.D.
Entity Type:Organization
Organization Name:OLA G. CAVERLY, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:OLA
Authorized Official - Middle Name:G
Authorized Official - Last Name:CAVERLY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-353-7600
Mailing Address - Street 1:1346 THORPE LN
Mailing Address - Street 2:STE C
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-7162
Mailing Address - Country:US
Mailing Address - Phone:512-353-7600
Mailing Address - Fax:512-353-7607
Practice Address - Street 1:1346 THORPE LN
Practice Address - Street 2:STE C
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-7162
Practice Address - Country:US
Practice Address - Phone:512-353-7600
Practice Address - Fax:512-353-7607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF8045207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00A91QOtherBCBS
TXB21743Medicare UPIN
TX00A91QOtherBCBS