1780629352 NPI number — EUGENIA ATKINSON DMD

Table of content: MS. BARBARA C. GILFORD MSW, LCSW (NPI 1396862959)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780629352 NPI number — EUGENIA ATKINSON DMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ATKINSON
Provider First Name:
EUGENIA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DMD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BADESCU
Provider Other First Name:
EUGENIA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
DMD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1780629352
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/27/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1500 RESEARCH FOREST DR, STE 220
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SHENANDOAH
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77381
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-859-4624
Provider Business Mailing Address Fax Number:
281-859-4630

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1500 RESEARCH FOREST DR, STE 220
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHENANDOAH
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77381
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-859-4624
Provider Business Practice Location Address Fax Number:
281-859-4630
Provider Enumeration Date:
06/18/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  4191 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)