Healthcare Provider Details
I. General information
NPI: 1902126410
Provider Name (Legal Business Name): STRAHIL ATANASOV MD PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/07/2010
Last Update Date: 07/21/2020
Certification Date: 07/21/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13455 CUTTEN RD STE 2K
HOUSTON TX
77069-1486
US
IV. Provider business mailing address
PO BOX 58713
HOUSTON TX
77258-8713
US
V. Phone/Fax
- Phone: 832-232-0030
- Fax: 832-232-0031
- Phone: 281-316-8400
- Fax: 281-316-8410
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084S0012X |
| Taxonomy | Sleep Medicine (Psychiatry & Neurology) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STRAHIL
ATANASOV
Title or Position: PRESIDENT
Credential: MD
Phone: 281-316-8400