NPI | 1790022259 |
---|---|
Doing Business As | CONCENTRA SSC 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 |