Organization
ONSITE OCCMED PA
Active
Other names
Concentra Medical Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM TOM FOGARTY M.D. (PRESIDENT)
(972) 364-8000
Entity
Organization
Contact information
Practice address
15810 MIDWAY RD, ADDISON, TX 75001-4259
(972) 458-8111
(972) 458-7776
Mailing address
5080 SPECTRUM DR, SUITE 1200 WEST, ADDISON, TX 75001-4648
(972) 364-8000
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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