Provider Demographics
NPI:1558846782
Name:ATTLAS HEALTH SYSTEMS
Entity Type:Organization
Organization Name:ATTLAS HEALTH SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING AND COMPLIANCE MANAGE
Authorized Official - Prefix:
Authorized Official - First Name:GERILYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-396-7818
Mailing Address - Street 1:4350 BELTWAY DR
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-3703
Mailing Address - Country:US
Mailing Address - Phone:972-891-5015
Mailing Address - Fax:972-385-9706
Practice Address - Street 1:4350 BELTWAY DR
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-3703
Practice Address - Country:US
Practice Address - Phone:972-891-5015
Practice Address - Fax:972-385-9706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty