Organization
VICTOR J. ATUN MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR JAIME ATUN MD (PHYSICIAN/OWNER)
(281) 232-6700
Entity
Organization
Contact information
Practice address
17510 W. GRAND PARKWAY S., SUITE 500, SUGAR LAND, TX 77479
(281) 232-6700
(281) 232-4545
Mailing address
17510 W. GRAND PARKWAY S., SUITE 500, SUGAR LAND, TX 77479
(281) 232-6700
(281) 232-4545
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
K6747
TX
208200000X
Plastic Surgery Physician
K6986
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
K6986
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0069HD
BLUE CROSS BLUE SHIELD
TX
05
—
029834101
—
TX
Enumeration date
02/21/2007
Last updated
03/07/2012
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