| Optimum Iom Pro, Llc | |
|
22841 Colorado Dr Porter TX 77365-3635 | |
| (281) 772-9023 | |
| Not Available |
| Full Name | Optimum Iom Pro, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 22841 Colorado Dr, Porter, Texas |
| Authorized Official Name and Position | Vilma Azucena Wheeler (PARTNER) |
| Authorized Official Contact | 9518970770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Iom Pro, Llc 24046 Clinton Keith Rd Ste 101 Wildomar CA 92595-8060 Ph: (281) 772-9023 | Optimum Iom Pro, Llc 22841 Colorado Dr Porter TX 77365-3635 Ph: (281) 772-9023 |
| NPI Number | 1659906519 |
|---|---|
| Provider Enumeration Date | 03/10/2020 |
| Last Update Date | 02/17/2026 |
| Certification Date | 02/17/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659906519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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