Provider Demographics
NPI:1760860720
Name:ATKINS, JEFFREY HUNTER (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:HUNTER
Last Name:ATKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HUNTER
Other - Middle Name:
Other - Last Name:ATKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4507 SANTA ROSA DR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79707-2260
Mailing Address - Country:US
Mailing Address - Phone:432-683-8516
Mailing Address - Fax:
Practice Address - Street 1:4507 SANTA ROSA DR
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79707-2260
Practice Address - Country:US
Practice Address - Phone:432-683-8516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-11
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR5354208M00000X, 207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX678418OtherTX MEDICARE
TX1N5324OtherTX MEDICARE FOR MIDLAND MED