Organization · Type 2 NPI
Optimum Iom Pro, LLC
Neurology Physician · Porter, TX
NPI number
1659906519
Active
Practice location
22841 Colorado Dr
Porter, TX 77365-3635
Mailing address
24046 Clinton Kieth Rd, Ste 105 #155
Wildomar, CA 92595-8060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | None listed |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
3 other providers at this address
About NPI 1659906519
Optimum Iom Pro, LLC's National Provider Identifier is 1659906519, issued on Mar 10, 2020. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Porter, TX. The record was last updated on Oct 30, 2026.