Healthcare Provider Details

I. General information

NPI: 1578995924
Provider Name (Legal Business Name): HAND ASSOCIATES OF NORTH DALLAS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2013
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 N PARK BLVD STE 100
GRAPEVINE TX
76051-6900
US

IV. Provider business mailing address

220 N PARK BLVD STE 100
GRAPEVINE TX
76051-6900
US

V. Phone/Fax

Practice location:
  • Phone: 972-939-4974
  • Fax: 817-280-9870
Mailing address:
  • Phone: 972-939-4974
  • Fax: 817-280-9870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER NEW
Title or Position: OFFICE ADMIN
Credential:
Phone: 972-939-4974