Provider Demographics
NPI:1962436881
Name:ATTICUS INC
Entity type:Organization
Organization Name:ATTICUS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-541-9948
Mailing Address - Street 1:5504 BANDERA RD
Mailing Address - Street 2:603
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78238-1943
Mailing Address - Country:US
Mailing Address - Phone:210-541-9948
Mailing Address - Fax:210-568-6087
Practice Address - Street 1:5504 BANDERA RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78238-1943
Practice Address - Country:US
Practice Address - Phone:210-541-9948
Practice Address - Fax:210-568-6087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0070930332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX175747801Medicaid
TX175747802Medicaid
TX175747802Medicaid