| Olive Medic | |
|
1000 Cooper Street Arlington TX 76011 | |
| (330) 506-4134 | |
| Not Available |
| Full Name | Olive Medic |
|---|---|
| Speciality | Hospitalist |
| Location | 1000 Cooper Street, Arlington, Texas |
| Authorized Official Name and Position | Sado Suhail Albitar (OWNER) |
| Authorized Official Contact | 3305064134 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Medic 1000 Cooper Street Arlington TX 76011 Ph: (330) 506-4134 | Olive Medic 1000 Cooper Street Arlington TX 76011 Ph: (330) 506-4134 |
| NPI Number | 1881196343 |
|---|---|
| Provider Enumeration Date | 03/01/2018 |
| Last Update Date | 04/01/2024 |
| Medicare PECOS PAC ID | 5294099644 |
|---|---|
| Medicare Enrollment ID | O20180510001617 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881196343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | David R Colan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154329142 PECOS PAC ID: 2769469329 Enrollment ID: I20160413000807 |
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