Individual
JAIME EDUARDO OLMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
224 E 2ND ST, DUMAS, TX 79029-3808
(806) 934-6018
Mailing address
708 DURRETT AVE, DUMAS, TX 79029-4521
(806) 930-6540
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2137397
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137397
TX PTA LICENSE
TX
Enumeration date
06/13/2018
Last updated
07/25/2024
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