MEDICARE: DR. JAMES H ATKINS JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	H0145	TX

General Provider Information

NPI Number	:	1396730776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES H ATKINS JR. MD

Provider Business Mailing Address
First Line	:	15900 LA CANTERA PKWY
Second Line	:	STE 20210
City	:	SAN ANTONIO
State	:	TX
Zip	:	78256-2422
Country	:	US
Telephone Number	:	210-607-4687
Fax Number	:	830-816-3833

Provider Business Practice Location Address
First Line	:	15900 LA CANTERA PKWY
Second Line	:	STE 20210
City	:	SAN ANTONIO
State	:	TX
Zip	:	78256-2422
Country	:	US
Telephone Number	:	830-816-3838
Fax Number	:	830-816-3833

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	02/06/2013

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