Provider Demographics
NPI:1245644673
Name:ATCHISON, ROBERT JESSIE (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JESSIE
Last Name:ATCHISON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5005 N. PIEDRAS ST. ATTN: GME
Mailing Address - Street 2:WILLIAM BEAUMONT ARMY MEDICAL CENTER
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79920-5001
Mailing Address - Country:US
Mailing Address - Phone:915-742-2597
Mailing Address - Fax:915-742-2653
Practice Address - Street 1:5005 N. PIEDRAS ST. ATTN: GME
Practice Address - Street 2:WILLIAM BEAUMONT ARMY MEDICAL CENTER
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79920-5001
Practice Address - Country:US
Practice Address - Phone:915-742-2597
Practice Address - Fax:915-742-2653
Is Sole Proprietor?:No
Enumeration Date:2014-06-13
Last Update Date:2015-12-09
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Provider Licenses
StateLicense IDTaxonomies
TXQ6143208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice