Healthcare Provider Details
I. General information
NPI: 1497275598
Provider Name (Legal Business Name): U.S. HEALTHWORKS MEDICAL GROUP, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/21/2017
Last Update Date: 09/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5635 W LAS POSITAS BLVD STE 401
PLEASANTON CA
94588-4076
US
IV. Provider business mailing address
5080 SPECTRUM DR STE 1200W
ADDISON TX
75001-4624
US
V. Phone/Fax
- Phone: 925-520-0055
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2083X0100X |
| Taxonomy | Occupational Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOHN
ANDERSON
Title or Position: VP
Credential:
Phone: 972-364-8000