| Optimal Health Primary Care Pllc | |
|
2027 61st St Galveston TX 77551-1401 | |
| (409) 789-4022 | |
| Not Available |
| Full Name | Optimal Health Primary Care Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2027 61st St, Galveston, Texas |
| Authorized Official Name and Position | Elizabeth Jaramillo (OWNER, PHYSICIAN) |
| Authorized Official Contact | 4097894022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Health Primary Care Pllc 6341 Stewart Rd # 194 Galveston TX 77551-1880 Ph: (409) 370-5739 | Optimal Health Primary Care Pllc 2027 61st St Galveston TX 77551-1401 Ph: (409) 789-4022 |
| NPI Number | 1851027262 |
|---|---|
| Provider Enumeration Date | 07/27/2022 |
| Last Update Date | 08/24/2022 |
| Medicare PECOS PAC ID | 2466823570 |
|---|---|
| Medicare Enrollment ID | O20230130000054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851027262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Elzabeth A Jaramillo |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1104050780 PECOS PAC ID: 0941438394 Enrollment ID: I20140110001628 |
| Provider Name | Karla Zengerle Levy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184098907 PECOS PAC ID: 9335448737 Enrollment ID: I20231220001721 |
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