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NPI Code Detail

MEDICARE: CONCENTRA HEALTH CARE PA

MEDICARE: CONCENTRA HEALTH CARE PA
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
1261Q00000XClinic/Center
2261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1811295116
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONCENTRA HEALTH CARE PA
Provider Business Mailing Address
First Line : 5080 SPECTRUM DR
Second Line : SUITE 1200W
City : ADDISON
State : TX
Zip : 75001-4648
Country : US
Telephone Number : 972-364-8000
Fax Number :
Provider Business Practice Location Address
First Line : 5080 SPECTRUM DRIVE
Second Line : SUITE 1200 WEST TOWER
City : ADDISON
State : TX
Zip : 75001-4624
Country : US
Telephone Number : 972-364-8000
Fax Number : 214-775-4502
Authorized Official
Title or Position : DIRECTOR
Name : DR. ROBERT HASSETT
Credential : DO
Telephone Number : 972-364-8000
Provider Enumeration Date : 03/10/2011
Last Update Date : 01/26/2016

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Directions to “CONCENTRA HEALTH CARE PA ” Practice Location

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