Provider Demographics
NPI:1760600571
Name:ADAPT 2 WORK PRODUCTS INC
Entity Type:Organization
Organization Name:ADAPT 2 WORK PRODUCTS INC
Other - Org Name:OCCUMED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:ELLSWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:432-362-4544
Mailing Address - Street 1:5000 E UNIVERSITY BLVD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79762-8170
Mailing Address - Country:US
Mailing Address - Phone:432-362-4544
Mailing Address - Fax:432-362-4594
Practice Address - Street 1:5000 E UNIVERSITY BLVD
Practice Address - Street 2:SUITE 6
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79762-8170
Practice Address - Country:US
Practice Address - Phone:432-362-4544
Practice Address - Fax:432-362-4594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG5021146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB22520Medicare UPIN