Organization
COMMUNITYMED OCCMED PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY BLOMQUIST (MEDICAL DIRECTOR)
(972) 521-8117
Entity
Organization
Contact information
Practice address
3591 MCKINNEY ST STE 400, MELISSA, TX 75454-9504
(972) 521-8117
Mailing address
16775 ADDISON RD STE 200, ADDISON, TX 75001-5654
(972) 521-8117
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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