Olivares, Jairo Rafael

Olivares, Jairo Rafael is an individual health care provider with primary practice located at 530 Clara Barton Blvd Suite 250, Garland TX 75042-5703. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Olivares, Jairo Rafael can be contacted via phone (972) 272-3417.

Contact Information

Primary practice address
530 Clara Barton Blvd Suite 250 Garland TX 75042-5703
Phone: (972) 272-3417
Fax: (972) 272-2425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X J9250 Texas
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X J9250 Texas

Profile Details

NPI number 1770520165
LBN Legal business name Olivares, Jairo Rafael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jun 7th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770520165 NPPES
Texas MEDICAID 135860811
Texas MEDICAID 135860810
Texas Other 8S7053

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