Provider Demographics
NPI:1164051504
Name:ATLAS NATURAL MEDICINE PLLC
Entity Type:Organization
Organization Name:ATLAS NATURAL MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:SEIVERT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-626-0588
Mailing Address - Street 1:1426 N MAIN ST STE 106
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:TX
Mailing Address - Zip Code:76574-3031
Mailing Address - Country:US
Mailing Address - Phone:512-352-1300
Mailing Address - Fax:512-352-1301
Practice Address - Street 1:1426 N MAIN ST STE 106
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:TX
Practice Address - Zip Code:76574-3031
Practice Address - Country:US
Practice Address - Phone:512-352-1300
Practice Address - Fax:512-352-1301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-07
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty