Provider Demographics
NPI:1790467082
Name:OCCUPATIONAL MEDICINE SERVICES PLUS PLLC
Entity Type:Organization
Organization Name:OCCUPATIONAL MEDICINE SERVICES PLUS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:A
Authorized Official - Last Name:PRINCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-249-6551
Mailing Address - Street 1:942 COUNTY ROAD 24960
Mailing Address - Street 2:
Mailing Address - City:BROOKSTON
Mailing Address - State:TX
Mailing Address - Zip Code:75421-3328
Mailing Address - Country:US
Mailing Address - Phone:903-249-6551
Mailing Address - Fax:
Practice Address - Street 1:4801 WESLEY ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75401-5649
Practice Address - Country:US
Practice Address - Phone:903-249-6551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-04
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care