Healthcare Provider Details

I. General information

NPI: 1588102743
Provider Name (Legal Business Name): HOPE IN MY HANDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2017
Last Update Date: 02/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1117 W PIONEER PKWY STE 120
ARLINGTON TX
76013-6397
US

IV. Provider business mailing address

1119 W PIONEER PKWY STE 115
ARLINGTON TX
76013-7604
US

V. Phone/Fax

Practice location:
  • Phone: 682-706-3100
  • Fax: 817-274-1900
Mailing address:
  • Phone: 682-706-3100
  • Fax: 817-274-1900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. TAMMI E. WITHERSPOON
Title or Position: OWNER/CEO
Credential:
Phone: 817-821-1467