Contract Details
Occupational Health Centers of the Southwest, P.A.
Facility name
Concentra Medical Center
Provider ID
P000002960
NPI
1942334149
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
12345 Katy Freeway
Houston, TX 77079
United States
County
Harris
Phone
2816795600 (Phone)
Billing Details
Address
PO Box 9005
Addison, TX 75001
Billing Phone
Specialty Type
Occupational Medicine Facility
Map
Address