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Organization
JULIO OLIVIERI
Active
Organization
JULIO OLIVIERI
Active
Other names
URBAN CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
JULIO OLIVIERI M.D. (PRESIDENT/OWNER)
(214) 381-1910
Entity
Organization
Contact information
Practice address
6300 SAMUELL BLVD, STE 120, DALLAS, TX 75228-7137
(214) 381-1910
(214) 381-2868
Mailing address
6300 SAMUELL BLVD, STE 120, DALLAS, TX 75228-7137
(214) 381-1910
(214) 381-2868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K2549
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0057BL
BLUECROSS BLUE SHIELD
TX
01
—
10028091
AMERIGROUP IDENTIFICATION
—
05
—
111912501
—
TX
05
—
111912503
—
TX
01
—
4785
PARKLAND IDENTIFICATION
TX
Enumeration date
07/06/2010
Last updated
07/06/2010
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