Provider Demographics
NPI:1154577559
Name:EXCEL OCCUPATIONAL CLINICS, LTD
Entity type:Organization
Organization Name:EXCEL OCCUPATIONAL CLINICS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-654-9448
Mailing Address - Street 1:6450 BRENTWOOD STAIR RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76112-3239
Mailing Address - Country:US
Mailing Address - Phone:817-654-0500
Mailing Address - Fax:817-654-9448
Practice Address - Street 1:6450 BRENTWOOD STAIR RD
Practice Address - Street 2:SUITE 100
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76112-3239
Practice Address - Country:US
Practice Address - Phone:817-654-0500
Practice Address - Fax:817-654-9448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty