=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811151012
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NORTH DALLAS HAND CENTER PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/16/2008
-----------------------------------------------------
Last Update Date | 06/25/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9301 N CENTRAL EXPY STE 300
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75231-0804
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-347-7800
-----------------------------------------------------
Fax | 855-224-3001
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9301 N CENTRAL EXPY STE 300
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75231-0804
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-347-7800
-----------------------------------------------------
Fax | 855-224-3001
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICIAN
-----------------------------------------------------
Name | DR. MEGAN M WOOD
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 214-347-7800
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207XS0106X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Hand Surgery Physician
-----------------------------------------------------
License Number | M4661
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------