Optimus Psychiatry, Pllc | |
3019 Medlin Dr Ste 200 Arlington TX 76015-2307 | |
(682) 382-3435 | |
(720) 794-8635 |
Full Name | Optimus Psychiatry, Pllc |
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Speciality | Psychiatry & Neurology |
Location | 3019 Medlin Dr Ste 200, Arlington, Texas |
Authorized Official Name and Position | Sulaimon Adebimpe Bakre (OWNER) |
Authorized Official Contact | 6822484562 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Optimus Psychiatry, Pllc 3019 Medlin Dr Ste 200 Arlington TX 76015-2307 Ph: (682) 382-3435 | Optimus Psychiatry, Pllc 3019 Medlin Dr Ste 200 Arlington TX 76015-2307 Ph: (682) 382-3435 |
NPI Number | 1396519609 |
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Provider Enumeration Date | 11/08/2023 |
Last Update Date | 11/08/2023 |
Certification Date | 11/08/2023 |
Medicare PECOS PAC ID | 5890147425 |
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Medicare Enrollment ID | O20240119001219 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396519609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Sulaimon Bakre |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1891256616 PECOS PAC ID: 6406181502 Enrollment ID: I20240119001288 |
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