Organization
DISA GLOBAL SOLUTIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BREAUX (DIRECTOR, MEDICAL SUPPORT)
(281) 813-9336
Entity
Organization
Contact information
Practice address
2605 REACH RD, WILLIAMSPORT, PA 17701-4392
(570) 327-8790
Mailing address
11740 KATY FWY FL 9, HOUSTON, TX 77079-1253
(281) 673-2400
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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