Provider Demographics
NPI:1902881535
Name:ATLAS, WILLIAM ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ANDREW
Last Name:ATLAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:540 MADISON OAK DR
Mailing Address - Street 2:STE 550
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3943
Mailing Address - Country:US
Mailing Address - Phone:210-404-9220
Mailing Address - Fax:210-404-9223
Practice Address - Street 1:540 MADISON OAK DR
Practice Address - Street 2:STE 550
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3943
Practice Address - Country:US
Practice Address - Phone:210-404-9220
Practice Address - Fax:210-404-9223
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH9186207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P01136133OtherRAILROAD MEDICARE
TX105549308Medicaid
TX8DL456OtherBCBSTX
TX105549304Medicaid
TXF33819Medicare UPIN
TX105549304Medicaid
TXB161107Medicare PIN
TX8F9117Medicare PIN
TX1055493-05Medicaid
TXTXB124716Medicare PIN