Provider Demographics
NPI:1063941441
Name:ATKINSON ANESTHESIA ASSOCIATES PLLC
Entity type:Organization
Organization Name:ATKINSON ANESTHESIA ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE ANESTHETIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSUE
Authorized Official - Middle Name:E
Authorized Official - Last Name:ATKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA/ MSNA
Authorized Official - Phone:956-459-6173
Mailing Address - Street 1:138 ALVAREZ CT
Mailing Address - Street 2:
Mailing Address - City:LOS FRESNOS
Mailing Address - State:TX
Mailing Address - Zip Code:78566-3214
Mailing Address - Country:US
Mailing Address - Phone:956-459-6173
Mailing Address - Fax:
Practice Address - Street 1:4770 N EXPRESSWAY STE 106
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-3106
Practice Address - Country:US
Practice Address - Phone:956-404-0849
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-08
Last Update Date:2017-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
367500000X
TX718833367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty