Individual
JOSE OMAR OLIVARES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 E HACKBERRY AVE, MCALLEN, TX 78501-6502
(956) 618-7100
Mailing address
901 E HACKBERRY AVE, MCALLEN, TX 78501-6502
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1027532
TX
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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