Individual
GUILLERMO ARTURO OLIVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3519 PAESANOS PKWY STE 105, SHAVANO PARK, TX 78231-1266
(210) 481-4265
(210) 851-8374
Mailing address
3519 PAESANOS PKWY STE 105, SHAVANO PARK, TX 78231-1266
(210) 481-4265
(210) 851-8374
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
981069
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
981069
PROFESSIONAL LICENSE
TX
Enumeration date
02/01/2021
Last updated
02/01/2021
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