Individual
ANTONIO R. OLIVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5039 VILLAGE CREEK DR., SUITE 300, PLANO, TX 75093
(469) 992-3056
Mailing address
5033 AVERY LN, THE COLONY, TX 75056-2316
(469) 992-3056
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT110494
TX
Other
Enumeration date
08/09/2023
Last updated
10/30/2025
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