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NPI Code Detail

MEDICARE: DR. MICHAEL ATTAS M.D.

MEDICARE: DR. MICHAEL ATTAS M.D.
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
1207RC0000XCardiovascular Disease PhysicianE0792TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1060013505OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
290233OTHERTXSWHP
374178408876712A006OTHERTXTRICARE
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5816587OTHERTXBLUE CROSS
6100348101OTHERTXFIRSTCARE
74341269OTHERTXAETNA
8116341305OTHERTXUNITED HEALTHCARE
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10757637OTHERTXFIRSTHEALTH

General Provider Information

NPI Number : 1669476487
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ATTAS M.D.
Provider Business Mailing Address
First Line : PO BOX 21327
Second Line :
City : WACO
State : TX
Zip : 76702-1327
Country : US
Telephone Number : 254-399-5400
Fax Number : 254-772-8669
Provider Business Practice Location Address
First Line : 7125 NEW SANGER AVENUE
Second Line : STE A
City : WACO
State : TX
Zip : 76712-4054
Country : US
Telephone Number : 254-399-5400
Fax Number : 254-772-8669
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 10/17/2011

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Directions to “ DR. MICHAEL ATTAS M.D.” Practice Location

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