Provider Demographics
NPI:1821173915
Name:ATKINSON, DENIS S (MD)
Entity Type:Individual
Prefix:
First Name:DENIS
Middle Name:S
Last Name:ATKINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 99371
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76199-0371
Mailing Address - Country:US
Mailing Address - Phone:682-885-1855
Mailing Address - Fax:682-885-7347
Practice Address - Street 1:1300 S UNIVERSITY DR
Practice Address - Street 2:STE 200
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-5737
Practice Address - Country:US
Practice Address - Phone:682-885-1050
Practice Address - Fax:682-885-7572
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD23452084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00U87ZOtherBCBSTX GRP PIN
TX140442852Medicaid
TX157761OtherPHCS PIN
1750369203OtherGRP NPI NUMBER
TX124028OtherSUPERIOR PIN
TX137345810OtherCSHCN GROUP
TX098759605OtherCSHCN
TX133102100OtherFIRSTCARE PIN
TX85380BOtherBCBSTX IND PIN
TX098759604Medicaid
TX10028705OtherAMERIGROUP PIN
TX23782OtherFIRSTHEALTH PIN
TX098759604Medicaid
TX00U87ZMedicare PIN
TX124028OtherSUPERIOR PIN