Basic Information
Provider Information
NPI: 1760671689
EntityType: 2
ReplacementNPI:  
OrganizationName: AMERICAN CURRENT CARE PA PC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5220 TENNYSON PKWY
Address2: SUITE 200
City: PLANO
State: TX
PostalCode: 750244266
CountryCode: US
TelephoneNumber: 9727207768
FaxNumber: 2147754502
Practice Location
Address1: 10355 EAST ILLIFF AVENUE
Address2:  
City: DENVER
State: CO
PostalCode: 802473622
CountryCode: US
TelephoneNumber: 3037554955
FaxNumber: 3037554956
Other Information
ProviderEnumerationDate: 10/16/2007
LastUpdateDate: 02/25/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: HASSETT
AuthorizedOfficialFirstName: ROBERT
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: SENIOR VP / CHIEF MEDICAL OFFICER
AuthorizedOfficialTelephone: 9723648000
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: DO
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QU0200X  Y Ambulatory Health Care FacilitiesClinic/CenterUrgent Care

No ID Information.


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