ATLANTIC MEDICAL PLLC NPI 1992973200

NPI Information

NPI: 1992973200
Provider Name: ATLANTIC MEDICAL, PLLC

Other Name: ATLANTIC FAMILY HEALTHCARE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
11403 OCONNOR RD
STE. 108
SAN ANTONIO, TX
ZIP 78233
Phone: (210) 657-3700
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ATLANTIC MEDICAL, PLLC is a primary care clinic center in San Antonio, TX. ATLANTIC MEDICAL, PLLC NPI is 1992973200. The provider is registered as an organization entity type.
The provider Other Name Is Atlantic Family Healthcare.

The provider's business location address is:

11403 OCONNOR RD
STE. 108
SAN ANTONIO, TX
ZIP 78233-390
Phone: (210) 657-3700
Fax: (210) 657-3708

The provider's authorized official is Ughanmwan Efeovbokhan .
The authorized official title is Owner and has the following contact phone number (210) 657-3700.

The CLIA number assigned to this NPI record is 45D1079958 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2008 and was last updated on 2/28/2019.

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
1	261QP2300X	Clinic/Center	Primary Care	PA01295	TEXAS	Yes

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: 4/28/2024

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