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NPI Code Detail

MEDICARE: OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST, P.A.

MEDICARE: OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST, P.A.
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
1261QH0100XHealth Service Clinic/Center
2261QP2000XPhysical Therapy Clinic/Center
3261QX0100XOccupational Medicine Clinic/Center

General Provider Information

NPI Number : 1508944653
Entity Type Code : Organization
Provider Name (Legal Business Name) : OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST, P.A.
Provider Business Mailing Address
First Line : 5080 SPECTRUM DR
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 : 2410 FRANKLIN PIKE
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-2227
Country : US
Telephone Number : 615-297-1678
Fax Number : 615-297-0584
Authorized Official
Title or Position : SENIOR VP / CHIEF MEDICAL OFFICER
Name : DR. TOM FOGARTY
Credential : MD
Telephone Number : 972-364-8103
Provider Enumeration Date : 11/02/2006
Last Update Date : 01/05/2009

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Directions to “OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST, P.A. ” Practice Location

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