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OPTIMED HEALTHCARE CLINIC LLC
NPI 1295197630
Nurse Practitioner - Acute Care in Rowlett, TX

Active since March 24, 2016
6321 SAN MARINO DR, ROWLETT, TX 75089(214) 205-2792 Get Directions Write a Review

NPPES record last updated: March 24, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Optimed Healthcare Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTIMED HEALTHCARE CLINIC LLC (NPI 1295197630) is a healthcare organization registered as an acute care in Rowlett, Texas and active in the NPI registry since March 2016. The organization lists Anita Chacko, Owner, as its authorized official.

NPPES Registry Identity

NPI1295197630
Entity TypeOrganization
Primary Taxonomy363LA2100X
Legal Business NameOPTIMED HEALTHCARE CLINIC LLC
Location Address6321 SAN MARINO DRRowlett, TX 75089-4534
Mailing Address6321 San Marino DrRowlett, TX 75089-4534
Phone(214) 205-2792
Organization SubpartNo
Authorized OfficialAnita ChackoOwner · (214) 205-2792
Enumeration DateMarch 24, 2016
✔ NPI 1295197630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
6321 SAN MARINO DR, Rowlett, TX 75089
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Optimed Healthcare Clinic LLC's NPI number?

The NPI number for Optimed Healthcare Clinic LLC is 1295197630. It was assigned to this organization in the NPPES registry on March 24, 2016.

Where is Optimed Healthcare Clinic LLC located?

Optimed Healthcare Clinic LLC is located at 6321 San Marino Dr, Rowlett, TX 75089. The listed phone number is (214) 205-2792.

What is Optimed Healthcare Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Optimed Healthcare Clinic LLC was last updated on March 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.