Organization
US MEDGROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM TOM FOGARTY MD (EVP, CHIEF MEDICAL OFFICER)
(972) 364-8000
Entity
Organization
Contact information
Practice address
200 TRADEPORT BLVD, SUITE 211, ATLANTA, GA 30354-2910
(800) 232-3550
Mailing address
5080 SPECTRUM DR, SUITE 1200 WEST, ADDISON, TX 75001-4648
(972) 364-8000
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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