Organization
SOUTH TEXAS PEDORTHICS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSKAR LUKAS OLIVAREZ CERTIFIED PEDORTHIST (PRESIDENT)
(361) 664-5764
Entity
Organization
Contact information
Practice address
601 E MAIN ST, SUITE 140, ALICE, TX 78332-4972
(361) 664-5764
(361) 664-5767
Mailing address
601 E MAIN ST, SUITE 140, ALICE, TX 78332-4972
(361) 664-5764
(361) 664-5767
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
—
—
Other
Enumeration date
08/10/2015
Last updated
10/23/2015
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