Organization Active NPI

Victor J. Atun MD, PA

  • Plastic and Reconstructive Surgery Physician
  • Sugar Land, TX
National Provider Identifier
1881739209
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
K6986 Issued in TX
Legal business name
VICTOR J. ATUN MD, PA
Practice address
17510 W. Grand Parkway S.
Suite 500
Sugar Land, TX 77479
Phone
(281) 232-6700
Fax
(281) 232-4545
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Victor Jaime Atun, MD
Title
Physician/Owner
Phone
(281) 232-6700

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X K6747 TX
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X K6986 TX
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X K6986 TX Primary

Addresses

Primary practice location

17510 W. Grand Parkway S.
Suite 500
Sugar Land, TX 77479

Mailing address

17510 W. Grand Parkway S.
Suite 500
Sugar Land, TX 77479
Phone (281) 232-6700

Other identifiers 2

IdentifierTypeStateIssuer
029834101MedicaidTX
0069HDOtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

2225 Williams Trace Blvd
Ste 111
Sugar Land, TX 77478
Phone (281) 313-5400

15591 Creek Bend Dr
Ste 100
Sugar Land, TX 77478
Phone (281) 232-6700

17510 W Grand Pkwy S
Ste 500
Sugar Land, TX 77479
Phone (281) 232-6700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1881739209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17510 W. GRAND PARKWAY S.",
            "address_2": "SUITE 500",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "281-232-6700",
            "fax_number": "281-232-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17510 W. GRAND PARKWAY S.",
            "address_2": "SUITE 500",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "281-232-6700",
            "fax_number": "281-232-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR J. ATUN MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "ATUN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "JAIME",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "281-232-6700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "K6747",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "K6986",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "K6986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029834101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0069HD",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.