Provider Demographics
NPI:1629956776
Name:OCCUMED - ONSITE, LLC
Entity type:Organization
Organization Name:OCCUMED - ONSITE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VP OF REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:MIDDLEBROOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-394-9570
Mailing Address - Street 1:2046 FOREST LN STE 180
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-7939
Mailing Address - Country:US
Mailing Address - Phone:972-494-1419
Mailing Address - Fax:972-494-2069
Practice Address - Street 1:2046 FOREST LN STE 180
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-7939
Practice Address - Country:US
Practice Address - Phone:972-494-1419
Practice Address - Fax:972-494-2069
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OCCUMED - ONSITE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty