Provider Demographics
NPI:1467569822
Name:OLIVA, ANTHONY JOSEPH JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:JOSEPH
Last Name:OLIVA
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:5525 BLANCO RD STE 102
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-6678
Mailing Address - Country:US
Mailing Address - Phone:210-474-6020
Mailing Address - Fax:855-772-9540
Practice Address - Street 1:5525 BLANCO RD STE 102
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-6678
Practice Address - Country:US
Practice Address - Phone:210-474-6020
Practice Address - Fax:855-772-9540
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2020-08-23
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Provider Licenses
StateLicense IDTaxonomies
TXN5922208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist