OCCUMED PLUS-GRAND PRAIRIE


Address: 805 W. North Carrier Pkwy, 260, Grand Prairie, TX 75050
Phone: 8179849580

OCCUMED PLUS-GRAND PRAIRIE (NPI# 1174962823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174962823
Entity Type Organization
Organization Name OCCUMED PLUS-GRAND PRAIRIE
Practice Address 805 W. North Carrier Pkwy
260
Grand Prairie
TX 75050
Practice Telephone 8179849580
Practice Fax Number 8179849581
Mailing Telephone 8179849580
Mailing Fax Number 8179849581
Enumeration Date 2013-06-17
Last Update Date 2013-06-17
Authorized Official Name MRS. SARA THOMSON (OFFICE MANAGER)
Authorized Official Telephone 8179849581
Authorized Official Credential CMA/NCT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Office Location

Street Address 805 W. NORTH CARRIER PKWY
260
City GRAND PRAIRIE
State TX
Zip Code 75050

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972739555 Shayne A Mcanalley General Practice 1610 W Polo Rd, Grand Prairie, TX 75052-1852 2009-06-09
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Competitor

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City GRAND PRAIRIE
Zip Code 75050

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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