Healthcare Provider Details

I. General information

NPI: 1588542492
Provider Name (Legal Business Name): OPTIMALE HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2027 S 61ST ST STE 120
TEMPLE TX
76504-6817
US

IV. Provider business mailing address

2027 S 61ST ST STE 120
TEMPLE TX
76504-6817
US

V. Phone/Fax

Practice location:
  • Phone: 813-730-5556
  • Fax: 813-730-8100
Mailing address:
  • Phone: 813-730-5556
  • Fax: 813-730-8100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SAM ALEXANDER SAMARRAI
Title or Position: CEO/MEDICAL DIRECTOR
Credential: MD
Phone: 813-730-5556