Organization
EXCEL OCCUPATIONAL CLINICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R BENNETT M.D (MEDICAL DIRECTOR)
(817) 654-0500
Entity
Organization
Contact information
Practice address
6450 BRENTWOOD STAIR RD, SUITE 110, FORT WORTH, TX 76112-3239
(817) 654-0500
Mailing address
6450 BRENTWOOD STAIR RD, SUITE 110, FORT WORTH, TX 76112-3239
(817) 654-0500
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
D1546
TX
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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