MEDICARE: ALL IN HIS HANDS

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	390200000X	Student in an Organized Health Care Education/Training Program	122979	TX

General Provider Information

NPI Number	:	1447311477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL IN HIS HANDS

Provider Business Mailing Address
First Line	:	2411 SPRINGFIELD DR
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75181-1781
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2411 SPRINGFIELD DR
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75181-1781
Country	:	US
Telephone Number	:	469-726-1310
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRSTOR
Name	:	MR. RAYMOND HAROLD PERRY
Credential	:	NURSE
Telephone Number	:	469-726-1310

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	06/13/2008

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Directions to “ALL IN HIS HANDS ” Practice Location

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