Individual
EDGARDO YABIR OLIVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
4700 E RIVERSIDE DR APT 1418, AUSTIN, TX 78741-4767
(832) 358-5500
Mailing address
5818 BEVERLYHILL ST STE 100, HOUSTON, TX 77057-6710
(832) 358-5500
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
112354
TX
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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