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Organization
TEXAS OPTIMUM HEALTHCARE, LLC
Active
Organization
TEXAS OPTIMUM HEALTHCARE, LLC
Active
Other names
North Texas Optimum Healthcare, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BART STEELE (OWNER)
(940) 387-3837
Entity
Organization
Contact information
Practice address
2210 SAN JACINTO BLVD, STE. 4, DENTON, TX 76205-7531
(940) 387-3837
(940) 387-9924
Mailing address
2210 SAN JACINTO BLVD, SUITE 4, DENTON, TX 76205-7531
(940) 387-3837
(940) 387-9924
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
K2408
TX
207Q00000X
Family Medicine Physician
Primary
P1368
TX
363A00000X
Physician Assistant
PA08941
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022BA
BLUE CROSS BLUE SHIELD
TX
01
—
016338-0025
UNITED HEALTHCARE
TX
01
—
132492
AETNA
TX
01
—
H00022BA010001
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/21/2015
Last updated
05/13/2016
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