Provider Demographics
NPI:1588542492
Name:OPTIMALE HEALTH PLLC
Entity type:Organization
Organization Name:OPTIMALE HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:SAMARRAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-730-5556
Mailing Address - Street 1:2027 S 61ST ST STE 120
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-6817
Mailing Address - Country:US
Mailing Address - Phone:813-730-5556
Mailing Address - Fax:813-730-8100
Practice Address - Street 1:2027 S 61ST ST STE 120
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-6817
Practice Address - Country:US
Practice Address - Phone:813-730-5556
Practice Address - Fax:813-730-8100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Multi-Specialty
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care