Most Relevant Information
Provider Data
| NPI Number: | 1003458712 |
| Provider Name: | ERICK D OLIVER |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 2074800 |
Most Important Dates
| Enumeration Date: | 10/14/2019 |
| Last Updated: | 10/14/2019 |
Provider Practice Location
2639 SICILY CT
GRAND PRAIRIE
TX
750523020
Practice Location Phone/Fax
| Phone: | 8178082803 |
| Fax: |
Provider Mailing Location
2639 SICILY CT
GRAND PRAIRIE
TX
750523020
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |