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CONCENTRA PRIMARY CARE PA

Physicians Family Medicine

Provider NPI: 1013265297

Organization Information:
Organization Name:  CONCENTRA PRIMARY CARE PA
Organization is not Subpart
Authorized Official:  ROBERT  HASSETT  PRESIDENT / TREASURER  972-364-8000

Practice Location:
1722 SHARKEY WAY  LEXINGTON, KY 40511-2028 US
Tel: 859-245-0692  Fax: 859-455-8431

Business Mailing Address:
5080 SPECTRUM DR SUITE 1200 WEST ADDISON, TX 75001-4648 US
Tel: 972-720-7772  Fax: 214-775-4502

NPI Information:
NPI: 1013265297
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207Q00000XPhysicians
Family Medicine
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
N363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Y261QP2300XAmbulatory Health Care Facilities
Clinic/Center

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QP2300X

Type:

Classification:



Definition:



MEDICAL JOBS KY - Page 1

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