Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | G3121 | TX |
NPI | 1124018908 |
---|---|
Provider Name | Bill Atkinson |
First Address | Lubbock, TX 79424-7600 |
Second Address | Lubbock, TX 79410-1806 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2005 |
Last Update Date | 03/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100108102 | FIRSTCARE COMMERCIAL (01) | TX |
100108103 | (05) | TX |
100150770A | (05) | OK |
128708803 | (05) | TX |
128708806 | (05) | TX |
128708807 | (05) | TX |
36807 | (05) | NM |
36807 | PRESBYTERIAN COMMERCIAL (01) | NM |
60061447 | DPS (01) | TX |
80832Z | HMO BLUE (01) | TX |
83G030 | BC/BS (01) | TX |
A598 | TRIWEST (01) | NM |
BA0260872 | DEA (01) | TX |
C13002 | (02) | TX |
X6909 | (05) | NM |