# COMMUNITYMED OCCMED PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407407380
- **Authorized official:** DR. GREGORY BLOMQUIST (MEDICAL DIRECTOR)
- **Authorized official phone:** (972) 521-8117

## Contact information

- **Practice address:** 3591 MCKINNEY ST STE 400, MELISSA, TX 75454-9504
- **Practice address phone:** (972) 521-8117
- **Mailing address:** 16775 ADDISON RD STE 200, ADDISON, TX 75001-5654
- **Mailing address phone:** (972) 521-8117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/23/2019
- **Last updated:** 09/23/2019