Esiquiel P. Olivarez, Jr

NPI #1083955181 in Fort Worth, Texas

Provider Information

NPI Number: 1083955181
Entity Type: Organization
Organization Name: Esiquiel P. Olivarez, Jr
Primary Specialty: Family Medicine
Enumeration Date: Mar 14, 2013
Last Updated: Mar 31, 2014

Practice Location

Address: 6138 WALRAVEN CIR
Address 2: STE A&B
City: Fort Worth
State: Texas
ZIP Code: 76133-2769
Phone: (817) 292-5000

Authorized Official

Name: DR. ESIQUIEL P OLIVAREZ JR., D.O.
Title: PHYSICIAN
Phone: (817) 292-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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