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NPI Code Detail

MEDICARE: GEORGE J ATIEE M.D.

MEDICARE: GEORGE J ATIEE 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
1207Q00000XFamily Medicine PhysicianH0143TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
189740YOTHERTXBCBS

General Provider Information

NPI Number : 1922044858
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE J ATIEE M.D.
Provider Business Mailing Address
First Line : 2108 NW MILITARY HWY
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78213-1882
Country : US
Telephone Number : 210-342-7300
Fax Number :
Provider Business Practice Location Address
First Line : 2108 NW MILITARY HWY
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78213-1882
Country : US
Telephone Number : 210-342-7300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2006
Last Update Date : 07/12/2007

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