Provider Demographics
NPI:1912412073
Name:ATKINS, RONNIE CHRISTOPHER (MPH,OTR/L)
Entity Type:Individual
Prefix:
First Name:RONNIE
Middle Name:CHRISTOPHER
Last Name:ATKINS
Suffix:
Gender:M
Credentials:MPH,OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:565 S MASON RD # 136
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2437
Mailing Address - Country:US
Mailing Address - Phone:225-892-3385
Mailing Address - Fax:
Practice Address - Street 1:1110 LAKEVIEW DRIVE
Practice Address - Street 2:
Practice Address - City:SUGARLAND
Practice Address - State:TX
Practice Address - Zip Code:77478
Practice Address - Country:US
Practice Address - Phone:832-699-4505
Practice Address - Fax:210-817-6948
Is Sole Proprietor?:No
Enumeration Date:2017-12-11
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120056225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist