Organization Name: | ATLAS MEDICAL GROUP P.L.L.C. |
NPI Number: | 1013339381 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES BRYCE CUNNINGHAM (CLINIC DIRECTOR) |
Mailing Address: | 115 Sundance Pkwy Ste 340 Round Rock |
State: | TX US |
Postal Code: | 786817840 |
Phone Number: | 5122489592 |
Fax Number: | 5122489451 |
NPI Enumeration Date: | 01/06/2014 |
NPI Last Update Date: | 01/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | P2980 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |