Contract Details
Occupational Health Centers of the Southwest, P.A.
Facility name
Concentra Medical Center
Provider ID
P000002948
NPI
1356373708
Tax ID
752014828
Effective Date
2/1/2012
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_135
Location Details
Address
4060 Sandshell Drive
Fort Worth, TX 76137
United States
County
Tarrant
Phone
8173069777 (Phone)
Billing Details
Address
PO Box 9005
Addison, TX 75001
Billing Phone
8003459958
Specialty Type
Occupational Medicine Facility
Map
Address