Mary L Olsen MD PA

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

TEXASG5447 Issued in TX

Legal business name

MARY L OLSEN MD PA

Practice address

3070 College Street
Suite 205
Beaumont, TX 77701

Phone

(409) 832-9600

Fax

(409) 832-9610

NPI assigned

Nov 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mary L Olsen, MD

Title

President

Phone

(409) 832-9600

Specialties & licenses 1

Addresses

Other names 1

• dba Southeast Texas Rheumatology Associates Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245306067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 COLLEGE STREET",
            "address_2": "SUITE 205",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77701",
            "telephone_number": "409-832-9600",
            "fax_number": "409-832-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 COLLEGE STREET",
            "address_2": "SUITE 205",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77701",
            "telephone_number": "409-832-9600",
            "fax_number": "409-832-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY L OLSEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-832-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "TEXASG5447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Southeast Texas Rheumatology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Romona Martin
• Taylor Martin
• Noemi Martinez Galvan
• Audrey Martinez, FNP
• Jared Martinez, CRNA
• Mary L. Olsen, M.D., P.a.
• Anquinetta Monique Mason-Baylor, COTA/L
• Massage Therapy Education Center
• Jason Earl Matherne, M.D.
• Robert Charles Matherne, D.D.S.

• Rheumatology Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Rheumatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.