MEDICARE: AMERICAN CURRENT CARE, 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
1	261QU0200X	Urgent Care Clinic/Center
2	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1962691667
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN CURRENT CARE, P.A.

Provider Business Mailing Address
First Line	:	5080 SPECTRUM DRIVE
Second Line	:	SUITE 1200 WEST
City	:	ADDISON
State	:	TX
Zip	:	75001-4625
Country	:	US
Telephone Number	:	972-364-8000
Fax Number	:	214-775-4406

Provider Business Practice Location Address
First Line	:	4006 LIVE OAK
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204
Country	:	US
Telephone Number	:	214-821-6007
Fax Number	:	214-821-6149

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. W TOM FOGARTY
Credential	:	MD
Telephone Number	:	972-364-8000

Provider Enumeration Date	:	10/18/2007
Last Update Date	:	04/16/2009

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