MEDICARE: DR. GEORGE J 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	208100000X	Physical Medicine & Rehabilitation Physician	M1010	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902830334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE J ATKINSON MD

Provider Business Mailing Address
First Line	:	5000 LEGACY DR STE 330
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-3391
Country	:	US
Telephone Number	:	405-841-7826
Fax Number	:	405-841-7827

Provider Business Practice Location Address
First Line	:	5000 LEGACY DR STE 330
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-3391
Country	:	US
Telephone Number	:	405-841-7826
Fax Number	:	405-841-7827

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

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	02/21/2024

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