Provider Demographics
NPI:1235709981
Name:ATKINS, ANGELICA BRICE
Entity Type:Individual
Prefix:
First Name:ANGELICA
Middle Name:BRICE
Last Name:ATKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20846 MAY SHOWERS CIR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-2438
Mailing Address - Country:US
Mailing Address - Phone:318-947-7085
Mailing Address - Fax:
Practice Address - Street 1:20846 MAY SHOWERS CIR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2438
Practice Address - Country:US
Practice Address - Phone:318-947-7085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-25
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider