Provider Demographics
NPI:1649638537
Name:OLSON, ERIC CHRISTOPHER (DC)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:CHRISTOPHER
Last Name:OLSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3219 SOUTHWESTERN BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-7652
Mailing Address - Country:US
Mailing Address - Phone:214-537-2261
Mailing Address - Fax:214-691-3809
Practice Address - Street 1:911 CENTRAL PKWY N STE 300
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-5053
Practice Address - Country:US
Practice Address - Phone:210-477-4965
Practice Address - Fax:210-468-0682
Is Sole Proprietor?:No
Enumeration Date:2016-02-05
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13119111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor