Individual
HARRY JAMES OLIVELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
404 N KAUFMAN ST, LINDEN, TX 75563-5234
(903) 756-5561
Mailing address
PO BOX 2701, LONGVIEW, TX 75606-2701
(903) 315-5704
(903) 315-2907
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02107
TX
Other
Enumeration date
05/27/2006
Last updated
03/04/2009
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