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General NPI Number Information
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NPI Number | 1558972034
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Entity Type | Organization
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Legal Business Name | OPTIMUM CARE SYSTEMS LLC
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Dates
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Enumeration Date | 08/10/2020
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Last Update Date | 08/10/2020
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Provider Practice Location Address
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Address Line | 4141 SOUTHWEST FWY STE 515
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City | HOUSTON
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State | TX
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Zip | 77027-7364
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Country | US
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Telephone | 816-447-1694
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Fax |
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Provider Business Mailing Address
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Address Line | 20722 BRADFORD FOREST DR
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City | CYPRESS
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State | TX
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Zip | 77433-3678
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Country | US
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Telephone | 816-447-1694
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Fax |
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Authorized Official
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Title or Position | OWNER/ SOLE PROPRIETOR
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Name | TEAIRRA L RICHARDSON
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Credential |
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Telephone | 816-447-1694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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