# OPTIMUM PHYSIO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OPTIMUM PHYSIO, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609294040
- **Authorized official:** MRS. SONIA DE ANDA (ADMINISTRATOR)
- **Authorized official phone:** (210) 314-6725

## Contact information

- **Practice address:** 2322 SAN PEDRO AVE, SAN ANTONIO, TX 78212
- **Practice address phone:** (210) 314-6725
- **Practice address fax:** (210) 957-8585
- **Mailing address:** 2322 SAN PEDRO AVE, SAN ANTONIO, TX 78212-3237
- **Mailing address phone:** (210) 314-6725
- **Mailing address fax:** (210) 957-8585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 675820000 | TX | Yes |

## Other

- **Enumeration date:** 04/02/2014
- **Last updated:** 02/26/2021