Organization
ONSITE OCCMED PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM T FOGARTY MD (EVP, CMO)
(972) 364-8000
Entity
Organization
Contact information
Practice address
1 LOCKHEED BLVD, FORT WORTH, TX 76108-3619
(817) 763-7234
(817) 655-9579
Mailing address
5080 SPECTRUM DR, SUITE 1200W, ADDISON, TX 75001-4648
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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