Organization
OPTIMUM MEDICAL TESTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE HICKS (OWNER)
(508) 360-2805
Entity
Organization
Contact information
Practice address
521 HARRIS AVE, PASADENA, TX 77506-4610
(713) 944-1796
Mailing address
521 HARRIS AVE, PASADENA, TX 77506-4610
(713) 944-1796
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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