Provider Demographics
NPI:1033576418
Name:ATLAS MEDICAL SERVICES, PLLC
Entity Type:Organization
Organization Name:ATLAS MEDICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:918-877-0070
Mailing Address - Street 1:3345 S HARVARD AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-1809
Mailing Address - Country:US
Mailing Address - Phone:918-877-0070
Mailing Address - Fax:918-398-6821
Practice Address - Street 1:3345 S HARVARD AVE STE 202
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-1809
Practice Address - Country:US
Practice Address - Phone:918-877-0070
Practice Address - Fax:918-398-6821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-15
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3402207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty