Optima Health Resources LLC

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Legal business name

OPTIMA HEALTH RESOURCES LLC

Practice address

5930 Royal LN Suite E PMB 225
Dallas, TX 75230-3896

Phone

(214) 358-0920

Fax

(214) 902-9287

NPI assigned

Feb 4, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Bahls

Title

Director

Phone

(214) 358-0920

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1174761738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 ROYAL LN SUITE E PMB 225",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752303896",
            "telephone_number": "214-358-0920",
            "fax_number": "214-902-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 ROYAL LN SUITE E PMB 225",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752303896",
            "telephone_number": "214-358-0920",
            "fax_number": "214-902-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA HEALTH RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "BAHLS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-358-0920"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0060TJ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgical Technologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Surgical Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.