Organization
ESIQUIEL P. OLIVAREZ, JR
Active
Other names
4HealthFMC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESIQUIEL P OLIVAREZ JR. D.O. (PHYSICIAN)
(817) 292-5000
Entity
Organization
Contact information
Practice address
6138 WALRAVEN CIR, STE A&B, FORT WORTH, TX 76133-2769
(817) 292-5000
(817) 292-5001
Mailing address
6138 WALRAVEN CIR, STE A&B, FORT WORTH, TX 76133-2769
(817) 292-5000
(817) 292-5001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L1684
TX
Other
Enumeration date
03/14/2013
Last updated
03/31/2014
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