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NPI 1578422648

NPI 1578422648 : ATLAS PROSTHETICS & ORTHOTICS, PLLC : NACOGDOCHES, TX

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General NPI Number Information
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    NPI Number           |    1578422648
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    Entity Type          |    Organization 
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    Legal Business Name  |    ATLAS PROSTHETICS & ORTHOTICS, PLLC 
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Dates
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    Enumeration Date     |    01/15/2026
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    Last Update Date     |    01/15/2026
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Provider Practice Location Address
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    Address Line         |    4110 NORTH ST 
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    City                 |    NACOGDOCHES
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    State                |    TX
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    Zip                  |    75965-1817
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    Country              |    US
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    Telephone            |    936-559-1881
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    Fax                  |    936-569-1890
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Provider Business Mailing Address
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    Address Line         |    3129 KINGSLEY DR STE 1620 
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    City                 |    PEARLAND
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    State                |    TX
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    Zip                  |    77584-8510
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    Country              |    US
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    Telephone            |    281-781-2751
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    Fax                  |    281-602-3451
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Authorized Official
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    Title or Position    |    OWNER/CLINCIAN
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    Name                 |     LEE A JONES II
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    Credential           |    CPO, LPO
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    Telephone            |    281-781-2751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    335E00000X
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    Taxonomy Name        |    Prosthetic/Orthotic Supplier
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    License Number       |    
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    License Number State |    
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