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NPI Code Detail

MEDICARE: OCCUPATIONAL HEALTH CENTERS OF OHIO, P.A., CO.

MEDICARE: OCCUPATIONAL HEALTH CENTERS OF OHIO, P.A., CO.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QX0100XOccupational Medicine Clinic/Center

General Provider Information

NPI Number : 1023254463
Entity Type Code : Organization
Provider Name (Legal Business Name) : OCCUPATIONAL HEALTH CENTERS OF OHIO, P.A., CO.
Provider Business Mailing Address
First Line : 5080 SPECTRUM DRIVE
Second Line : SUITE 1200 WEST TOWER
City : ADDISON
State : TX
Zip : 75001-4648
Country : US
Telephone Number : 800-232-3550
Fax Number :
Provider Business Practice Location Address
First Line : 2884 EAST KEMPER ROAD
Second Line :
City : CINCINNATI
State : OH
Zip : 45241-1820
Country : US
Telephone Number : 513-771-2233
Fax Number : 513-612-3572
Authorized Official
Title or Position : SENIOR VP / CHIEF MEDICAL OFFICER
Name : DR. TOM FOGARTY
Credential : MD
Telephone Number : 972-364-8103
Provider Enumeration Date : 01/06/2009
Last Update Date : 01/06/2009

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Directions to “OCCUPATIONAL HEALTH CENTERS OF OHIO, P.A., CO. ” Practice Location

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