Individual
DIEGO ALONSO OLAVARRIA BERNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
DEPARTMENT OF INTERNAL MEDICINE 3601 4TH STREET MS 9410, LUBBOCK, TX 79430-0001
(806) 743-6840
Mailing address
DEPARTMENT OF INTERNAL MEDICINE 3601 4TH STREET MS 9410, LUBBOCK, TX 79430-0001
(806) 743-6840
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
BP10083588
TX
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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