Organization Name: | OCCSPECIALISTS CORP., A MEDICAL CORPORATION (CA) |
NPI Number: | 1053507558 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY WAINSTEIN (VP) |
Mailing Address: | 5080 Spectrum Dr Ste. 1200w Addison |
State: | TX US |
Postal Code: | 750014648 |
Phone Number: | 9723648000 |
Fax Number: | 2147754502 |
NPI Enumeration Date: | 09/18/2007 |
NPI Last Update Date: | 03/14/2016 |
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: |