Provider Demographics
NPI: | 1053450916 |
---|---|
Name: | OCCUPATIONAL HEALTH CENTERS OF DELAWARE, P.A. |
Entity type: | Organization |
Organization Name: | OCCUPATIONAL HEALTH CENTERS OF DELAWARE, P.A. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | SR VP, CMO |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | ROBERT |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | HASSETT |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | DO |
Authorized Official - Phone: | 972-364-8000 |
Mailing Address - Street 1: | 5080 SPECTRUM DR |
Mailing Address - Street 2: | SUITE 1200 WEST |
Mailing Address - City: | ADDISON |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75001-4648 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 972-364-8000 |
Mailing Address - Fax: | 214-775-4502 |
Practice Address - Street 1: | 5080 SPECTRUM DR |
Practice Address - Street 2: | SUITE 1200 WEST |
Practice Address - City: | ADDISON |
Practice Address - State: | TX |
Practice Address - Zip Code: | 75001-4648 |
Practice Address - Country: | US |
Practice Address - Phone: | 972-364-8000 |
Practice Address - Fax: | 214-775-4502 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-02-06 |
Last Update Date: | 2016-02-02 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QX0100X | Ambulatory Health Care Facilities | Clinic/Center | Occupational Medicine |