Individual provider · Type 1 NPI

Roderick Olivas, MD

Student in an Organized Health Care Education/Training Program · Lubbock, TX

NPI number 1295294684 Active

Practice location

3601 4th St Stop 6211
Lubbock, TX 79430-5881

Call (806) 743-2978 Map

Fax (806) 743-1599

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000XU7920 (TX)
Student in an Organized Health Care Education/Training Program Primary 390200000XU7920 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1295294684

Roderick Olivas, MD's National Provider Identifier is 1295294684, issued on Mar 15, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lubbock, TX. The record was last updated on Mar 12, 2025.