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General NPI Number Information
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NPI Number | 1447169362
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Entity Type | Organization
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Legal Business Name | ATLANTIC FAMILY HEALTHCARE PLLC
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 8101 ROUGHRIDER DR
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City | WINDCREST
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State | TX
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Zip | 78239-2428
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Country | US
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Telephone | 210-657-3700
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Fax | 210-657-3708
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Provider Business Mailing Address
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Address Line | 8101 ROUGHRIDER DR
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City | WINDCREST
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State | TX
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Zip | 78239-2428
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Country | US
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Telephone | 210-973-5714
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Fax | 210-973-5737
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Authorized Official
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Title or Position | CREDENTIALING DIRECTOR
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Name | ANN DEGRASSI
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Credential |
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Telephone | 210-248-7308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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