| Optimus Medical Clinic | |
|
8800 Long Point Rd Ste D Houston TX 77055-3025 | |
| (713) 468-8889 | |
| (713) 468-1108 |
| Full Name | Optimus Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 8800 Long Point Rd, Houston, Texas |
| Authorized Official Name and Position | Quan Huong Le (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7134688889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimus Medical Clinic 8800 Long Point Rd Ste D Houston TX 77055-3025 Ph: (713) 468-8889 | Optimus Medical Clinic 8800 Long Point Rd Ste D Houston TX 77055-3025 Ph: (713) 468-8889 |
| NPI Number | 1376725986 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 07/22/2008 |
| Medicare PECOS PAC ID | 2567532245 |
|---|---|
| Medicare Enrollment ID | O20080612000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376725986 | NPI | - | NPPES |
| 00337M | Other | TX | MEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | K6478 (Texas) | Primary |
| Provider Name | Quan H Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922016997 PECOS PAC ID: 9032289772 Enrollment ID: I20080606000152 |
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