Provider Demographics
NPI:1871784959
Name:OLIVER ACHLEITNER MD PA
Entity type:Organization
Organization Name:OLIVER ACHLEITNER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:OLIVER
Authorized Official - Middle Name:
Authorized Official - Last Name:ACHLEITNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-982-6982
Mailing Address - Street 1:PO BOX 5139
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78523-5139
Mailing Address - Country:US
Mailing Address - Phone:956-982-6982
Mailing Address - Fax:956-982-0436
Practice Address - Street 1:535 PAREDES LINE RD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-2483
Practice Address - Country:US
Practice Address - Phone:956-982-6982
Practice Address - Fax:956-982-0436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0586174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113766303Medicaid
TX0061DHOtherBCBS
TX00909GMedicare PIN