MEDICARE: U.S. HEALTHWORKS MEDICAL GROUP, PC

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	2083X0100X	Occupational Medicine Physician
2	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1982152104
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	U.S. HEALTHWORKS MEDICAL GROUP, PC

Provider Business Mailing Address
First Line	:	5080 SPECTRUM DR STE 1200W
Second Line	:
City	:	ADDISON
State	:	TX
Zip	:	75001-4624
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1760 CHICAGO AVE
Second Line	:	SUITE J3
City	:	RIVERSIDE
State	:	CA
Zip	:	92507-2300
Country	:	US
Telephone Number	:	951-781-2200
Fax Number	:	951-781-2220

Authorized Official
Title or Position	:	VP
Name	:	JOHN ANDERSON
Credential	:
Telephone Number	:	972-364-8000

Provider Enumeration Date	:	09/16/2016
Last Update Date	:	09/22/2018

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