EXCEL OCCUPATIONAL CLINICS NPI 1003006818

Clinic/Center (Occupational Medicine) in Fort Worth, TX

About EXCEL OCCUPATIONAL CLINICS

Excel Occupational Clinics is a provider in Fort Worth, TX. The NPI number assigned to this provider is 1003006818. The practitioner's primary taxonomy code is Clinic/Center (261QX0100X). The provider is registered as an organization and their NPI record was last updated 10 years ago.

NPI1003006818 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameEXCEL OCCUPATIONAL CLINICS
Provider Location Address6450 BRENTWOOD STAIR RD SUITE 110 FORT WORTH, TX 76112 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address6450 BRENTWOOD STAIR RD SUITE 110 FORT WORTH, TX 76112 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date07-27-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-27-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

EXCEL OCCUPATIONAL CLINICS
6450 BRENTWOOD STAIR RD
SUITE 110
FORT WORTH, TX
ZIP 76112
Phone: (817) 654-0500
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Mailing Address

EXCEL OCCUPATIONAL CLINICS
6450 BRENTWOOD STAIR RD
SUITE 110
FORT WORTH, TX
ZIP 76112
Phone: (817) 654-0500

Primary Taxonomy

Taxonomy Code261QX0100X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationOccupational Medicine
License No.D1546
License StateTX

Authorized Official

Authorized Official NameDR. JOHN R BENNETT M.D Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleMEDICAL DIRECTOR
Authorized Official Phone(817) 654-0500

Map Location


EXCEL OCCUPATIONAL CLINICS address is 6450 BRENTWOOD STAIR RD SUITE 110 FORT WORTH, TX 76112

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023284890EXCEL OCCUPATIONAL CLINICS, LTD.
Organization
Preventive Medicine (Occupational Medicine)6450 BRENTWOOD STAIR RD SUITE 100
FORT WORTH, TX 76112
(817) 654-0500
1154577559EXCEL OCCUPATIONAL CLINICS, LTD
Organization
Physical Medicine & Rehabilitation6450 BRENTWOOD STAIR RD SUITE 100
FORT WORTH, TX 76112
(817) 654-0500
1689980419USRC EAST FT WORTH LP
Organization
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)6450 BRENTWOOD STAIR RD
FORT WORTH, TX 76112
(817) 888-3015