Provider Demographics
NPI:1548336969
Name:WORKERS MEDICAL PA
Entity type:Organization
Organization Name:WORKERS MEDICAL PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:D
Authorized Official - Last Name:WHITTINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-774-9777
Mailing Address - Street 1:3201 UNIVERSITY DRIVE EAST
Mailing Address - Street 2:SUITE 155
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802
Mailing Address - Country:US
Mailing Address - Phone:979-774-9777
Mailing Address - Fax:979-774-9997
Practice Address - Street 1:3201 UNIVERSITY DRIVE EAST
Practice Address - Street 2:SUITE 155
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802
Practice Address - Country:US
Practice Address - Phone:979-774-9777
Practice Address - Fax:979-774-9997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMDG0026261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
85A060Medicare ID - Type Unspecified
B26015Medicare UPIN