Provider Demographics
NPI:1154004000
Name:ATRIUM MEDICAL CENTER, LP
Entity type:Organization
Organization Name:ATRIUM MEDICAL CENTER, LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SHATISHKUMAR
Authorized Official - Middle Name:Y
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-265-2345
Mailing Address - Street 1:11929 W AIRPORT BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-2454
Mailing Address - Country:US
Mailing Address - Phone:281-207-8200
Mailing Address - Fax:281-207-8388
Practice Address - Street 1:11929 W AIRPORT BLVD STE 110
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-2454
Practice Address - Country:US
Practice Address - Phone:281-207-8200
Practice Address - Fax:281-207-8388
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ATRIUM MEDICAL CENTER, LP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-08-08
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit