MEDICARE: BAY AREA HAND INSTITUTE

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	2082S0105X	Surgery of the Hand (Plastic Surgery) Physician	J9214	TX

General Provider Information

NPI Number	:	1356424733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAY AREA HAND INSTITUTE

Provider Business Mailing Address
First Line	:	PO BOX 580279
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77258-0279
Country	:	US
Telephone Number	:	281-335-0003
Fax Number	:	281-335-0333

Provider Business Practice Location Address
First Line	:	18100 SAINT JOHN DR
Second Line	:	SUITE 220
City	:	HOUSTON
State	:	TX
Zip	:	77058-3631
Country	:	US
Telephone Number	:	281-335-0003
Fax Number	:	281-335-0333

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALFRED TENNYSON MITCHELL
Credential	:	M.D.
Telephone Number	:	281-335-0003

Provider Enumeration Date	:	10/22/2006
Last Update Date	:	05/16/2008

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Directions to “BAY AREA HAND INSTITUTE ” Practice Location

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