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EMMANUEL I MBAH NPI 1023103983


NPI Information

NPI: 1023103983
Provider Name: EMMANUEL I MBAH

Doing Business As: OPTIMA HEALTH SERVICES

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
7411 HINES PLACE
SUITE 225
DALLAS, TX
ZIP 75235
Phone: (972) 764-9734
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EMMANUEL I MBAH is a durable medical equipment medical supplies in Dallas, TX. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. EMMANUEL I MBAH NPI is 1023103983. The provider is registered as an organization entity type.
The provider Is Doing Business As Optima Health Services.

The provider's business location address is:

7411 HINES PLACE
SUITE 225
DALLAS, TX
ZIP 75235
Phone: (972) 764-9734
Fax: (972) 587-4909

The provider's authorized official is Emmanuel I Mbah .
The authorized official title is Owner Ceo and has the following contact phone number (972) 764-9734.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 7/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1179756501MEDICAIDTEXAS
2179756502OTHERTEXASMEDICAID
35590440001MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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