NPI | 1023582186 |
---|---|
Doing Business As | OPTIMUM PHYSICAL MEDICINE |
Entity Type | Organization |
Authorized Contact | JOHN E MCINTYRE President 713-410-8463 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2019-01-11 |
Last Update Date | 2019-06-11 |