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General NPI Number Information
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NPI Number | 1467077487
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Entity Type | Organization
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Legal Business Name | OPTIMUM WOMEN'S HEALTH CENTER INC.
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Dates
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Enumeration Date | 06/16/2020
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 7980 ANCHOR DR STE 1100
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City | PORT ARTHUR
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State | TX
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Zip | 77642-8268
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Country | US
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Telephone | 409-203-3525
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Fax | 409-217-4532
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Provider Business Mailing Address
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Address Line | 2302 BAYOU DR
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City | PORT ARTHUR
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State | TX
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Zip | 77640-1781
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Country | US
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Telephone | 409-543-5177
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Fax | 888-789-1412
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | RHONDA SIMON DIXON
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Credential | APRN, MSN, CNM
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Telephone | 409-543-5177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State |
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