Organization Name: | OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST, P.A. |
NPI Number: | 1043556921 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM TOM FOGARTY (PRESIDENT) |
Mailing Address: | 4002 Garth Rd Suite 130 Baytown |
State: | TX US |
Postal Code: | 775213180 |
Phone Number: | 2814206521 |
Fax Number: | 2814206586 |
NPI Enumeration Date: | 12/20/2012 |
NPI Last Update Date: | 01/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QX0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Occupational Medicine |
Taxonomy Definition: |