Provider Demographics
NPI:1902126410
Name:STRAHIL ATANASOV MD PA
Entity Type:Organization
Organization Name:STRAHIL ATANASOV MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STRAHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:ATANASOV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-316-8400
Mailing Address - Street 1:PO BOX 58713
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77258-8713
Mailing Address - Country:US
Mailing Address - Phone:281-316-8400
Mailing Address - Fax:281-316-8410
Practice Address - Street 1:13455 CUTTEN RD STE 2K
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-1486
Practice Address - Country:US
Practice Address - Phone:832-232-0030
Practice Address - Fax:832-232-0031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-07
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0036TNOtherBCBSTX
TXDS7460OtherRRMEDICARE
TX215912101Medicaid
TX215912101Medicaid