MEDICARE: MONICA OLIVIER DO PA

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
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801899380
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONICA OLIVIER DO PA

Provider Business Mailing Address
First Line	:	560 WEST MAIN STREET
Second Line	:	SUITE 201
City	:	LEWISVILLE
State	:	TX
Zip	:	75057-3604
Country	:	US
Telephone Number	:	214-222-4800
Fax Number	:	214-222-4882

Provider Business Practice Location Address
First Line	:	560 WEST MAIN STREET
Second Line	:	SUITE 201
City	:	LEWISVILLE
State	:	TX
Zip	:	75057-3604
Country	:	US
Telephone Number	:	214-222-4800
Fax Number	:	214-222-4882

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. NORMA J CAMPBELL
Credential	:
Telephone Number	:	214-222-4800

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	10/21/2008

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