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NPI Code Detail

MEDICARE: DIEGO GARCIA OLGUIN RN

MEDICARE:   DIEGO  GARCIA OLGUIN  RN
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
1163W00000XRegistered Nurse961625TX

General Provider Information

NPI Number : 1215493481
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIEGO GARCIA OLGUIN RN
Provider Business Mailing Address
First Line : 5918 BAYMEADOWS LN APT 115
Second Line :
City : ARLINGTON
State : TX
Zip : 76017-6334
Country : US
Telephone Number : 682-465-8671
Fax Number :
Provider Business Practice Location Address
First Line : 5918 BAYMEADOWS LN APT 115
Second Line :
City : ARLINGTON
State : TX
Zip : 76017-6334
Country : US
Telephone Number : 682-465-8671
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2019
Last Update Date : 02/13/2019

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Directions to “ DIEGO GARCIA OLGUIN RN” Practice Location

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