Individual
ROBERT A OLIVARES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 N OREGON ST, EL PASO, TX 79902-3524
(915) 521-1200
(866) 862-5432
Mailing address
PO BOX 203629, DALLAS, TX 75320-0001
(915) 533-3474
(915) 544-5037
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M6323
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190619001
—
TX
05
—
190619002
—
TX
05
—
52589871
—
NM
01
—
P00465438
RR MEDICARE
TX
Enumeration date
05/07/2007
Last updated
06/08/2022
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