| NPI | 1609113166 |
|---|---|
| Doing Business As | CONCENTRA WAGNER CLINIC AT VECTREN |
| Entity Type | Organization |
| Authorized Contact | WILLIAM TOM FOGARTY President 972-364-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |