Provider Demographics
NPI:1396519609
Name:OPTIMUS PSYCHIATRY, PLLC
Entity type:Organization
Organization Name:OPTIMUS PSYCHIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SULAIMON
Authorized Official - Middle Name:ADEBIMPE
Authorized Official - Last Name:BAKRE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:682-248-4562
Mailing Address - Street 1:3019 MEDLIN DR STE 200
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-2307
Mailing Address - Country:US
Mailing Address - Phone:682-382-3435
Mailing Address - Fax:720-794-8635
Practice Address - Street 1:3019 MEDLIN DR STE 200
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2307
Practice Address - Country:US
Practice Address - Phone:682-382-3435
Practice Address - Fax:720-794-8635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty