Active NPI
Victor J. Atun MD, PA
- Plastic and Reconstructive Surgery Physician
- Sugar Land, TX
National Provider Identifier
1881739209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- K6986
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | K6747 | TX | |
| Plastic Surgery Physician | 208200000X | K6986 | TX | |
| Plastic and Reconstructive Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 029834101 | Medicaid | TX | |
| 0069HD | Other | TX | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Public Health & General Preventive Medicine Physician
- The Woodlands, TX
- NPI 1619977782
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.