MEDICARE: THERAPEUTIC HANDS MEDICAL CARE PLLC

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	363LA2100X	Acute Care Nurse Practitioner

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144855222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPEUTIC HANDS MEDICAL CARE PLLC

Provider Business Mailing Address
First Line	:	610 UPTOWN BLVD STE 2000
Second Line	:
City	:	CEDAR HILL
State	:	TX
Zip	:	75104-3528
Country	:	US
Telephone Number	:	469-248-6240
Fax Number	:

Provider Business Practice Location Address
First Line	:	475 E FM 1382 UNIT 4321
Second Line	:
City	:	CEDAR HILL
State	:	TX
Zip	:	75106-5198
Country	:	US
Telephone Number	:	945-240-1598
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TIRA BOLDER
Credential	:	NP
Telephone Number	:	945-240-1598

Provider Enumeration Date	:	03/09/2020
Last Update Date	:	05/06/2025

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