MEDICARE: DR. WENDELL P HAND JR. DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	H0425	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982694402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WENDELL P HAND JR. DO

Provider Business Mailing Address
First Line	:	PO BOX 1509
Second Line	:
City	:	LINDALE
State	:	TX
Zip	:	75771-1509
Country	:	US
Telephone Number	:	903-882-3194
Fax Number	:	903-882-7405

Provider Business Practice Location Address
First Line	:	103 E NORTH ST
Second Line	:
City	:	LINDALE
State	:	TX
Zip	:	75771-3116
Country	:	US
Telephone Number	:	903-882-3194
Fax Number	:	903-882-7405

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	03/05/2010

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