Individual
ANNA ATENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
306 E MAIN AVE, SUITE 5 & 6, ALTON, TX 78573-6955
(956) 424-7655
(956) 424-7049
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
(956) 424-7655
(956) 424-7049
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125062559
IL
207Q00000X
Family Medicine Physician
Primary
Q9781
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3630808-01
—
TX
Enumeration date
07/02/2013
Last updated
07/21/2022
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