Provider Demographics
NPI:1548749567
Name:ATKINS, JAMES PATRICK (LVN/LPN)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:PATRICK
Last Name:ATKINS
Suffix:
Gender:M
Credentials:LVN/LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8797 MARBACH RD APT 7103
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78227-2383
Mailing Address - Country:US
Mailing Address - Phone:661-282-6619
Mailing Address - Fax:
Practice Address - Street 1:8797 MARBACH RD APT 7103
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78227-2383
Practice Address - Country:US
Practice Address - Phone:661-282-6619
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-09
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX316722164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse