| NPI | 1972907897 |
|---|---|
| Doing Business As | OPTIMUM PHYSICAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JOHN ERIC MCINTYRE President 281-993-4109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX E3155) |
| 208VP0000X Pain Medicine Pain Medicine (Licence: TX E3155) | |
| 363AM0700X Physician Assistant Medical (Licence: TX PA07605) | |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2019-12-10 |