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Contact Information

STEPHANIE A OLIVARES, D.T.R. , M.S.
14330 MIDWAY RD
STE 121
DALLAS, TX75244-3522
 Phone: 972-930-0260
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietetic Technician, Registered

136A00000X
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for STEPHANIE A OLIVARES · (Female)

NPI Number 1528301959
Status Active
Credentials D.T.R. , M.S.
Entity Individual
Enumeration date 04/04/2013
Last updated 04/04/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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