Individual
DR. MICHAEL EDWIN OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12709 TOEPPERWEIN RD, SUITE 204, SAN ANTONIO, TX 78233
(210) 646-0133
(210) 646-0144
Mailing address
12709 TOEPPERWEIN RD, SUITE 204, SAN ANTONIO, TX 78233
(210) 646-0133
(210) 646-0144
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G2200
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0737886
AETNA HMO
—
Enumeration date
10/05/2006
Last updated
11/07/2007
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