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NPI Code Detail

MEDICARE: MARCUS ANTHONY OLVERA

MEDICARE:   MARCUS ANTHONY OLVERA
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 Nurse1026549TX

General Provider Information

NPI Number : 1962355651
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCUS ANTHONY OLVERA
Provider Business Mailing Address
First Line : 6900 WATERLOO LN
Second Line :
City : FORT WORTH
State : TX
Zip : 76179-6725
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6900 WATERLOO LN
Second Line :
City : FORT WORTH
State : TX
Zip : 76179-6725
Country : US
Telephone Number : 806-438-3763
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2026
Last Update Date : 02/20/2026

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Directions to “ MARCUS ANTHONY OLVERA ” Practice Location

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