Healthcare Provider Details

I. General information

NPI: 1245091230
Provider Name (Legal Business Name): ALMA G OLVERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2024
Last Update Date: 01/17/2024
Certification Date: 01/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2714 BOCA CHICA BLVD
BROWNSVILLE TX
78521-3502
US

IV. Provider business mailing address

47 OLD MILITARY HWY
BROWNSVILLE TX
78520-4426
US

V. Phone/Fax

Practice location:
  • Phone: 956-518-7055
  • Fax:
Mailing address:
  • Phone: 956-561-5455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: