MEDICARE: TWO HANDS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	261QM1300X	Multi-Specialty Clinic/Center
3	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1184247926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TWO HANDS PLLC

Provider Business Mailing Address
First Line	:	3945 BRAXTON DR STE 1
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063
Country	:	US
Telephone Number	:	281-636-6861
Fax Number	:

Provider Business Practice Location Address
First Line	:	3945 BRAXTON DR STE 1
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063
Country	:	US
Telephone Number	:	281-636-6861
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	KATHY KING-DAVIS
Credential	:	FNP-BC
Telephone Number	:	281-636-6861

Provider Enumeration Date	:	05/27/2020
Last Update Date	:	07/15/2020

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