Provider Demographics
NPI:1033485198
Name:B.J. ATKINS, M.D., P.A.
Entity Type:Organization
Organization Name:B.J. ATKINS, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:JACK
Authorized Official - Last Name:ATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:936-295-6436
Mailing Address - Street 1:260 INTERSTATE 45 S
Mailing Address - Street 2:SUITE A
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77340-4968
Mailing Address - Country:US
Mailing Address - Phone:936-295-6436
Mailing Address - Fax:936-295-6616
Practice Address - Street 1:260 INTERSTATE 45 S
Practice Address - Street 2:SUITE A
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-4968
Practice Address - Country:US
Practice Address - Phone:936-295-6436
Practice Address - Fax:936-295-6616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-22
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD4017207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty