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
—
—
Other
Enumeration date
03/06/2012
Last updated
03/08/2012
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