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NPI Code Detail

MEDICARE: BIANCA ALYSSA OLIVARES

MEDICARE: BIANCA ALYSSA OLIVARES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist126193TX

General Provider Information

NPI Number : 1205794336
Entity Type Code : Individual
Provider Name (Legal Business Name) : BIANCA ALYSSA OLIVARES
Provider Business Mailing Address
First Line : 20659 STONE OAK PKWY APT 608
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-7493
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1431 GREENWAY DR STE 500
Second Line :
City : IRVING
State : TX
Zip : 75038-2444
Country : US
Telephone Number : 210-457-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2026
Last Update Date : 01/15/2026

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Directions to “ BIANCA ALYSSA OLIVARES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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