Provider Demographics
NPI:1841383486
Name:OLSON, KRISTA L (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTA
Middle Name:L
Last Name:OLSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6550 FANNIN
Mailing Address - Street 2:SUITE 1701
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-798-5900
Mailing Address - Fax:713-798-5841
Practice Address - Street 1:6550 FANNIN
Practice Address - Street 2:SUITE 1701
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-798-5900
Practice Address - Fax:713-798-5841
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK8671207Y00000X, 207YX0007X, 207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
H80296Medicare UPIN
TX8B1624Medicare PIN
8A5187Medicare PIN