OCCUMED PLUS-GRAND PRAIRIE NPI 1174962823

NPI Information

  • NPI: 1174962823
  • Provider Name: OCCUMED PLUS-GRAND PRAIRIE
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 45D2110156
  • Address: 805 W. NORTH CARRIER PKWY
    260
    GRAND PRAIRIE, TX
    ZIP 75050
  • Phone: (817) 984-9580

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NPI Details

OCCUMED PLUS-GRAND PRAIRIE is a general practice in Grand Prairie, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee OCCUMED PLUS-GRAND PRAIRIE NPI is 1174962823. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

805 W. NORTH CARRIER PKWY
260
GRAND PRAIRIE, TX
ZIP 75050
Phone: (817) 984-9580
Fax: (817) 984-9581

The provider's authorized official is Sara Thomson .
The authorized official title is Office Manager and has the following contact phone number (817) 984-9581.

The CLIA number assigned to this NPI record is 45D2110156 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2013 and was last updated on 6/17/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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