MEDICARE: ATTICUS INC

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	332B00000X	Durable Medical Equipment & Medical Supplies	0070930	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962436881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATTICUS INC

Provider Business Mailing Address
First Line	:	5504 BANDERA RD
Second Line	:	603
City	:	SAN ANTONIO
State	:	TX
Zip	:	78238-1943
Country	:	US
Telephone Number	:	210-541-9948
Fax Number	:	210-568-6087

Provider Business Practice Location Address
First Line	:	5504 BANDERA RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78238-1943
Country	:	US
Telephone Number	:	210-541-9948
Fax Number	:	210-568-6087

Authorized Official
Title or Position	:	CEO PRESIDENT
Name	:	RONNIE TORRES
Credential	:
Telephone Number	:	210-541-9948

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	05/17/2012

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Directions to “ATTICUS INC ” Practice Location

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