MEDICARE: VICTOR VERN HANDS M.D.

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	208600000X	Surgery Physician	H2436	TX
2	2086S0129X	Vascular Surgery Physician	H2436	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	84K299	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073510061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTOR VERN HANDS M.D.

Provider Business Mailing Address
First Line	:	2001 JULIAN BLVD.
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79102
Country	:	US
Telephone Number	:	806-679-0708
Fax Number	:	806-376-9961

Provider Business Practice Location Address
First Line	:	2001 JULIAN BLVD.
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79102
Country	:	US
Telephone Number	:	806-679-0708
Fax Number	:	806-376-9961

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

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	07/16/2019

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