Healthcare Provider Details

I. General information

NPI: 1043752413
Provider Name (Legal Business Name): AMERICAN CURRENT CARE PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2016
Last Update Date: 11/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46440 BENEDICT DR SUITE 108
STERLING VA
20164-6602
US

IV. Provider business mailing address

5080 SPECTRUM DR STE 1200W
ADDISON TX
75001-4648
US

V. Phone/Fax

Practice location:
  • Phone: 703-444-5656
  • Fax:
Mailing address:
  • Phone: 972-364-8083
  • Fax: 214-775-4502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT HASSETT
Title or Position: VICE PRESIDENT
Credential: D.O.
Phone: 972-364-8000