Concentra Primary Care of California, a Medical Corporation

NPI #1912472531 in Addison, Texas

Provider Information

NPI Number: 1912472531
Entity Type: Organization
Organization Name: Concentra Primary Care of California, a Medical Corporation
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Oct 10, 2018
Last Updated: Jan 28, 2019

Practice Location

Address: 5080 SPECTRUM DR STE 1200W
City: Addison
State: Texas
ZIP Code: 75001-4624
Phone: (972) 364-8000

Authorized Official

Name: JOHN ANDERSON
Title: VP
Phone: (972) 364-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Clinic/Center - Health Service — Health Service	261QH0100X
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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