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General NPI Number Information
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NPI Number | 1619038353
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Entity Type | Individual
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Provider Name | MICHAEL SHANE HAND D.C.
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Gender | Male
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3005 CHURCH ST SUITE D
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City | AMARILLO
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State | TX
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Zip | 79109-1660
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Country | US
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Telephone | 806-373-4263
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Fax | 806-372-2258
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Provider Business Mailing Address
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Address Line | 3005 CHURCH ST SUITE D
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City | AMARILLO
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State | TX
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Zip | 79109-1660
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Country | US
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Telephone | 806-373-4263
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Fax | 806-372-2258
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 8249
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License Number State | TX
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