MR. MICHAEL PAUL OLDEN HTOSTC-PEDPMAC NPI 1194801837

NPI Information

NPI: 1194801837
Provider Name: MR. MICHAEL PAUL OLDEN, HT,OST,C-PED,PMAC
Classification: - 246ZS0400X
Entity Type: Individual
Address:
3600 MEMORIAL BLVD # 11C
KERRVILLE, TX
ZIP 78028
Phone: (830) 792-2660
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MR. Michael Paul Olden, HT,OST,C-PED,PMAC is a healthcare provider in Kerrville, TX. MR. Michael Paul Olden, HT,OST,C-PED,PMAC NPI is 1194801837. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3600 MEMORIAL BLVD # 11C
KERRVILLE, TX
ZIP 78028-768
Phone: (830) 792-2660

The enumeration date for this NPI number is 10/27/2006 and was last updated on 10/31/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Primary
1	174400000X	Specialist	No
2	211D00000X	Assistant, Podiatric	No
3	246Y00000X	Specialist/Technologist, Health Information	No
4	247200000X	Technician, Other	No
5	246ZS0400X		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2348	OTHER	TEXAS	CERTIFIED PEDORTHIST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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