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Organization
CONCENTRA HEALTH SERVICES INC
Active
Organization
CONCENTRA HEALTH SERVICES INC
Active
Other names
Concentra Medical Compliance Administration
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM TOM FOGARTY MD (PRESIDENT)
(972) 364-8000
Entity
Organization
Contact information
Practice address
8850 FM 2658 N, TATUM, TX 75691-3401
(855) 289-6757
(800) 310-5984
Mailing address
PO BOX 9008, BROOMFIELD, CO 80021-9008
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/06/2012
Last updated
03/08/2012
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