Provider Demographics
NPI:1598962763
Name:ATLAS INJURY AND REHAB, PLLC
Entity Type:Organization
Organization Name:ATLAS INJURY AND REHAB, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:PROF
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:956-782-8400
Mailing Address - Street 1:615 S ASTER ST
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-5358
Mailing Address - Country:US
Mailing Address - Phone:956-782-8400
Mailing Address - Fax:
Practice Address - Street 1:615 S ASTER ST
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-5358
Practice Address - Country:US
Practice Address - Phone:956-782-8400
Practice Address - Fax:956-782-8430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9416111NR0400X
TX9148111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
Not Answered111NX0100XChiropractic ProvidersChiropractorOccupational HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1659466621OtherNPI
TX1295821684OtherNPI