Provider Demographics
NPI:1891955365
Name:NOE R. OLVERA MD PA
Entity Type:Organization
Organization Name:NOE R. OLVERA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RHEUMATOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NOE
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:OLVERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-979-7296
Mailing Address - Street 1:2705 HOSPITAL DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-5775
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2705 HOSPITAL DR
Practice Address - Street 2:SUITE 210
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-5775
Practice Address - Country:US
Practice Address - Phone:520-979-7296
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8887261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty