Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | J6861 | TX |
NPI | 1053375543 |
---|---|
Provider Name | Barbara A Atkinson |
First Address | Fort Worth, TX 76199-0335 |
Second Address | Fort Worth, TX 76107-2553 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 19/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
104118802 | (05) | TX |
110093828 | RAILROAD MEDICARE PIN (01) | TX |
842600 | BCBS (01) | TX |
F86768 | (02) | TX |