MEDICARE: HANDS-ON SPORTS MEDICINE LIMITED PARTNERSHIP

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1720293319
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANDS-ON SPORTS MEDICINE LIMITED PARTNERSHIP

Provider Business Mailing Address
First Line	:	1300 W SAM HOUSTON PKWY S
Second Line	:	SUITE 300
City	:	HOUSTON
State	:	TX
Zip	:	77042-2447
Country	:	US
Telephone Number	:	713-297-7000
Fax Number	:	713-297-7090

Provider Business Practice Location Address
First Line	:	2828 N CLARK ST
Second Line	:	SUITE 309
City	:	CHICAGO
State	:	IL
Zip	:	60657-5775
Country	:	US
Telephone Number	:	773-525-0190
Fax Number	:	773-525-0583

Authorized Official
Title or Position	:	VP, AUTHORIZED OFFICIAL
Name	:	JANNA KING
Credential	:	JD
Telephone Number	:	713-297-7000

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	08/22/2020

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