Individual
KRISTYN M OLIVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3215 STECK AVE, AUSTIN, TX 78757-7566
(512) 774-5745
Mailing address
3215 STECK AVE, AUSTIN, TX 78757-7566
(512) 774-5745
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-04692
NC
363AM0700X
Medical Physician Assistant
Primary
PA10587
TX
Other
Enumeration date
01/10/2014
Last updated
12/01/2016
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