Organization
OLICOLAS MONITORING P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO CRISTOBAL M.D. (PRESIDENT)
(832) 472-5906
Entity
Organization
Contact information
Practice address
500 THROCKMORTON 3012, FORT WORTH, TX 76102
(817) 908-8124
Mailing address
923 PENNSYLVANIA AVENUE, SUITE 200, FORT WORTH, TX 76104
(817) 908-8124
(817) 885-7339
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
M9939
TX
207YX0901X
Otology & Neurotology Physician
Primary
M9939
TX
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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