Provider Demographics
NPI:1538631676
Name:BARGSLEY, OLGA (PA-C)
Entity type:Individual
Prefix:
First Name:OLGA
Middle Name:
Last Name:BARGSLEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:OLGA
Other - Middle Name:
Other - Last Name:SKIRDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:8135 FOREST LN # 515057
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2472
Mailing Address - Country:US
Mailing Address - Phone:469-850-5760
Mailing Address - Fax:
Practice Address - Street 1:17051 DALLAS PKWY STE 220
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-7145
Practice Address - Country:US
Practice Address - Phone:214-382-3200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-31
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA12612363AS0400X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical