Individual
LUIS OLIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6100
Mailing address
PO BOX 370593, EL PASO, TX 79937-0593
(915) 598-3668
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000816
GA
213ES0131X
Foot Surgery Podiatrist
1544
TX
Other
Enumeration date
07/20/2006
Last updated
09/21/2018
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