Healthcare Provider Details

I. General information

NPI: 1124015714
Provider Name (Legal Business Name): STEVEN G ATCHESON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2005
Last Update Date: 12/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

93 BELL ST
RENO NV
89503-5616
US

IV. Provider business mailing address

135 THORNHILL CIR
DOUBLE OAK TX
75077-7329
US

V. Phone/Fax

Practice location:
  • Phone: 775-329-6772
  • Fax: 775-329-7019
Mailing address:
  • Phone: 817-567-1943
  • Fax: 817-567-1503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number2818
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: