Organization
CONCENTRA PRIMARY CARE PA
Active
Other names
Concentra Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT HASSETT DO (PRESIDENT / TREASURER)
(972) 364-8000
Entity
Organization
Contact information
Practice address
204 BELLAIRE DRIVE, NICHOLASVILLE, KY 40356-8840
(859) 887-4882
(859) 881-1728
Mailing address
5080 SPECTRUM DRIVE, SUITE 1200 WEST, ADDISON, TX 75001-4648
(972) 720-7772
(214) 775-4502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/08/2012
Last updated
02/03/2016
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