MEDICARE: DENTON HAND & ORTHOPEDICS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207X00000X	Orthopaedic Surgery Physician
2	2086S0105X	Surgery of the Hand (Surgery) Physician
3	207XS0106X	Orthopaedic Hand Surgery Physician

General Provider Information

NPI Number	:	1821673591
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTON HAND & ORTHOPEDICS

Provider Business Mailing Address
First Line	:	2401 W OAK ST STE 102
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76201-2381
Country	:	US
Telephone Number	:	940-299-4263
Fax Number	:	940-535-7326

Provider Business Practice Location Address
First Line	:	2401 W OAK ST STE 102
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76201-2381
Country	:	US
Telephone Number	:	940-299-4263
Fax Number	:	940-535-7326

Authorized Official
Title or Position	:	PHYSICIAN/PRESIDENT
Name	:	TIMOTHY BRAD LARSON
Credential	:	MD
Telephone Number	:	940-299-4263

Provider Enumeration Date	:	03/15/2021
Last Update Date	:	10/03/2022

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