MEDICARE: DENIS S ATKINSON MD

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
1	2084P0804X	Child & Adolescent Psychiatry Physician	D2345	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00U87Z	OTHER	TX	BCBSTX GRP PIN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	157761	OTHER	TX	PHCS PIN
4	1750369203	OTHER		GRP NPI NUMBER
5	124028	OTHER	TX	SUPERIOR PIN
6	137345810	OTHER	TX	CSHCN GROUP
7	098759605	OTHER	TX	CSHCN
8	133102100	OTHER	TX	FIRSTCARE PIN
9	85380B	OTHER	TX	BCBSTX IND PIN
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	10028705	OTHER	TX	AMERIGROUP PIN
12	23782	OTHER	TX	FIRSTHEALTH PIN

General Provider Information

NPI Number	:	1821173915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENIS S ATKINSON MD

Provider Business Mailing Address
First Line	:	PO BOX 99371
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76199-0371
Country	:	US
Telephone Number	:	682-885-1855
Fax Number	:	682-885-7347

Provider Business Practice Location Address
First Line	:	1300 S UNIVERSITY DR
Second Line	:	STE 200
City	:	FORT WORTH
State	:	TX
Zip	:	76107-5737
Country	:	US
Telephone Number	:	682-885-1050
Fax Number	:	682-885-7572

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	04/12/2010

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Directions to “ DENIS S ATKINSON MD” Practice Location

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