Olsv3 PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

OLSV3 PLLC

Practice address

3414 Golden Rd
Tyler, TX 75701-8336

Phone

(713) 799-2300

NPI assigned

Jun 20, 2019

Organization subpart

No

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

Authorized official

Name

Jack Bryan Wiliamson, MD

Title

Principle Physician

Phone

(713) 799-2300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1770144701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 GOLDEN RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018336",
            "telephone_number": "713-799-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 GOLDEN RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018336",
            "telephone_number": "713-799-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSV3 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "WILIAMSON",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "PRINCIPLE PHYSICIAN",
        "authorized_official_telephone_number": "713-799-2300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raul De Jesus Olmos Cervantes, RPH
• Olufunmilola Olorodediop
• Lloyd M Olsen, MD
• Melinda Olson, MED, CCC SLP
• Aleksandra Olsson-Detwiler, M.D.
• Bolarinwa Francis Olusola, MD
• Patti Burk Olusola, MD
• Addason Romana Olvera
• Ana Patrisia Olvera, C.O.T.A.
• David Adrian Olvera, MD

• All providers in Tyler, TX
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.