Organization
EMMANUEL I MBAH
Active
Other names
Optima Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL I MBAH (OWNER CEO)
(972) 764-9734
Entity
Organization
Contact information
Practice address
7411 HINES PLACE, SUITE 225, DALLAS, TX 75235
(972) 764-9734
(972) 587-4909
Mailing address
7411 HINES PLACE, SUITE 225, DALLAS, TX 75235
(972) 764-9734
(972) 587-4909
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179756501
—
TX
01
—
179756502
MEDICAID
TX
Enumeration date
10/04/2006
Last updated
07/22/2008
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