# OPTUM CLINIC PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932515640
- **Authorized official:** DR. JULIE NGUYEN (OFFICER)
- **Authorized official phone:** (281) 387-0749

## Contact information

- **Practice address:** 5060 S FORT APACHE RD, SUITE 150, LAS VEGAS, NV 89148-1716
- **Practice address phone:** (877) 456-5506
- **Mailing address:** PO BOX 692, MINNEAPOLIS, MN 55440-0692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/02/2014
- **Last updated:** 07/02/2014
