| Atlantis Men's Health Pllc | |
|
1360 N Kimball Ave Ste 100 Southlake TX 76092-4747 | |
| (817) 704-0847 | |
| (682) 323-0794 |
| Full Name | Atlantis Men's Health Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1360 N Kimball Ave Ste 100, Southlake, Texas |
| Authorized Official Name and Position | Rajender Kumar Agarwal (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8177040847 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantis Men's Health Pllc 1360 N Kimball Ave Ste 100 Southlake TX 76092-4747 Ph: (817) 704-0847 | Atlantis Men's Health Pllc 1360 N Kimball Ave Ste 100 Southlake TX 76092-4747 Ph: (817) 704-0847 |
| NPI Number | 1851105910 |
|---|---|
| Provider Enumeration Date | 02/06/2025 |
| Last Update Date | 02/06/2025 |
| Medicare PECOS PAC ID | 8022538057 |
|---|---|
| Medicare Enrollment ID | O20250220003801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851105910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rajender Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659687788 PECOS PAC ID: 8224270939 Enrollment ID: I20171019002975 |
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