Provider Demographics
NPI:1376269498
Name:ATX LEARNING HEALTHCARE LLC
Entity Type:Organization
Organization Name:ATX LEARNING HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:MUASIR
Authorized Official - Last Name:KHALIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-707-4953
Mailing Address - Street 1:10821 RED RUN BLVD UNIT 407
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-8529
Mailing Address - Country:US
Mailing Address - Phone:972-707-4953
Mailing Address - Fax:
Practice Address - Street 1:10821 RED RUN BLVD UNIT 407
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-8529
Practice Address - Country:US
Practice Address - Phone:972-707-4953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty