Provider Demographics
NPI:1093175887
Name:TEXAS OPTIMUM HEALTHCARE LLC
Entity Type:Organization
Organization Name:TEXAS OPTIMUM HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BART
Authorized Official - Middle Name:
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-387-3837
Mailing Address - Street 1:2210 SAN JACINTO BLVD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-7527
Mailing Address - Country:US
Mailing Address - Phone:940-387-3837
Mailing Address - Fax:940-387-9924
Practice Address - Street 1:2210 SAN JACINTO BLVD
Practice Address - Street 2:SUITE 4
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-7527
Practice Address - Country:US
Practice Address - Phone:940-387-3837
Practice Address - Fax:940-387-9924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-07
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty