Individual
DR. BERNARDO OLAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. P.A.
Contact information
Practice address
2211 MIDWESTERN PKWY, WICHITA FALLS, TX 76308-2300
(940) 766-6500
(940) 766-6506
Mailing address
PO BOX 4106, WICHITA FALLS, TX 76308-0106
(940) 766-6500
(940) 766-6506
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
G8740
TX
207VX0000X
Obstetrics Physician
Primary
G8740
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111702004
—
TX
01
—
8AJ784
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
05/11/2006
Last updated
05/18/2022
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