Provider Demographics
NPI:1386440543
Name:ATLAS SUPPORT SOLUTIONS, LLC
Entity type:Organization
Organization Name:ATLAS SUPPORT SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:FROMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:210-379-2236
Mailing Address - Street 1:9311 LLANO VERDE
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4155
Mailing Address - Country:US
Mailing Address - Phone:210-379-2236
Mailing Address - Fax:
Practice Address - Street 1:9311 LLANO VERDE
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-4155
Practice Address - Country:US
Practice Address - Phone:210-379-2236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies