Organization
WANDERLEY OLIVEIRA, MD, PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY KERLEY (OFFICE MANAGER)
(214) 630-0018
Entity
Organization
Contact information
Practice address
5959 HARRY HINES BLVD, SUITE 1030, DALLAS, TX 75235-6234
(214) 630-0009
(214) 634-2926
Mailing address
5959 HARRY HINES BLVD, SUITE 1030, DALLAS, TX 75235-6234
(214) 630-0009
(214) 634-2926
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E1914
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031870101
—
TX
Enumeration date
07/24/2012
Last updated
10/30/2012
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