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Individual

MARCEL DE OLIVEIRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
2601 W RANDOL MILL RD, ARLINGTON, TX 76012-4289
(469) 278-2974
Mailing address
2937 OAK RIDGE DR, HURST, TX 76054-2143
(469) 278-2974

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2086160
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2086160
MANAGED CARE
TX
05
2086160
TX
Enumeration date
08/22/2018
Last updated
08/22/2018
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