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Organization

OPTIMED HEALTHCARE CLINIC LLC

Active
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Organization

OPTIMED HEALTHCARE CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANITA CHACKO (OWNER)
(214) 205-2792
Entity
Organization

Contact information

Practice address
6321 SAN MARINO DR, ROWLETT, TX 75089-4534
(214) 205-2792
Mailing address
6321 SAN MARINO DR, ROWLETT, TX 75089-4534

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
NULL
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—

Other

Enumeration date
03/24/2016
Last updated
03/24/2016
About Stedi
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