Organization
OPTIMAL HEALTH AND SKIN LLC
Active
Other names
Optimal Health
Organization subpart
No
Provider details
NPI number
Authorized official
TED GROESBECK (CEO)
(972) 236-3300
Entity
Organization
Contact information
Practice address
4701 OLD SHEPARD PL STE 260, PLANO, TX 75093-5250
(972) 336-3300
Mailing address
5760 LEGACY DR STE B3-355, PLANO, TX 75024-7102
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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