Active NPI
Atticus Inc
Doing business as Atticus Medical Supply Co.
- Durable Medical Equipment & Medical Supplies
- San Antonio, TX
National Provider Identifier
1962436881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0070930
- Legal business name
- ATTICUS INC
- Doing business as
- Atticus Medical Supply Co.
- Practice address
- 5504 Bandera Rd
San Antonio, TX 78238-1943 - Phone
- (210) 541-9948
- Fax
- (210) 568-6087
- NPI assigned
- Jul 10, 2006
- Last updated
- May 17, 2012
- 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
- Ronnie Torres
- Title
- Ceo President
- Phone
- (210) 541-9948
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0070930 | TX | Primary |
Addresses
Primary practice location
5504 Bandera Rd
San Antonio, TX 78238-1943
Mailing address
5504 Bandera Rd
603
San Antonio, TX 78238-1943
Phone (210) 541-9948
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175747802 | Medicaid | TX | |
| 175747801 | Medicaid | TX |
Other names 1
- Atticus Medical Supply Co.
National Provider Directory
National Provider DirectoryLocations
1878 Grandstand Dr
San Antonio, TX 78238
Phone (210) 212-4998
5504 Bandera Rd
San Antonio, TX 78238
Phone (210) 541-9948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337212800000",
"number": "1962436881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5504 BANDERA RD",
"address_2": "603",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782381943",
"telephone_number": "210-541-9948",
"fax_number": "210-568-6087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5504 BANDERA RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782381943",
"telephone_number": "210-541-9948",
"fax_number": "210-568-6087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATTICUS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2012-05-17",
"status": "A",
"authorized_official_last_name": "TORRES",
"authorized_official_first_name": "RONNIE",
"authorized_official_title_or_position": "CEO PRESIDENT",
"authorized_official_telephone_number": "210-541-9948"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "0070930",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "175747802",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "175747801",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Atticus Medical Supply Co.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.