Organization
OPTIMA HEALTH RESOURCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BAHLS (DIRECTOR)
(214) 358-0920
Entity
Organization
Contact information
Practice address
5930 ROYAL LN SUITE E PMB 225, DALLAS, TX 75230-3896
(214) 358-0920
(214) 902-9287
Mailing address
5930 ROYAL LN SUITE E PMB 225, DALLAS, TX 75230-3896
(214) 358-0920
(214) 902-9287
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060TJ
BCBS
TX
Enumeration date
02/04/2009
Last updated
11/23/2010
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