Organization
THERAPY CENTERS OF THE SOUTHWEST I, P.A.
Active
Other names
Concentra Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM FOGARTY M.D. (SR VP / CHIEF MEDICAL OFFICER)
(800) 232-3550
Entity
Organization
Contact information
Practice address
1030 OAK RIDGE TPKE, OAK RIDGE, TN 37830-6804
(865) 425-4640
(865) 425-4646
Mailing address
5080 SPECTRUM DR, SUITE 1200 WEST TOWER, ADDISON, TX 75001-4648
(800) 232-3550
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
11/02/2006
Last updated
05/21/2008
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