Individual
BRANDON S ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12465 TIMBERLAND BLVD STE 401, FORT WORTH, TX 76244-5215
(817) 741-8355
(817) 741-8365
Mailing address
12465 TIMBERLAND BLVD STE 401, FORT WORTH, TX 76244-5215
(817) 741-8355
(817) 741-8365
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A7613
CA
207Q00000X
Family Medicine Physician
Primary
N1538
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX76130
—
CA
05
—
204741701
—
TX
Enumeration date
08/10/2005
Last updated
08/05/2011
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