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NPI Code Detail

MEDICARE: HAND & UPPER EXTREMITY CENTER

MEDICARE: HAND & UPPER EXTREMITY CENTER
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
1261QM2500XMedical Specialty Clinic/CenterF1174TX

General Provider Information

NPI Number : 1871794800
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAND & UPPER EXTREMITY CENTER
Provider Business Mailing Address
First Line : 7989 W VIRGINIA DR # 105
Second Line :
City : DALLAS
State : TX
Zip : 75237-3765
Country : US
Telephone Number : 972-296-3875
Fax Number : 972-296-3575
Provider Business Practice Location Address
First Line : 7989 W VIRGINIA DR # 105
Second Line :
City : DALLAS
State : TX
Zip : 75237-3765
Country : US
Telephone Number : 972-296-3875
Fax Number : 972-296-3575
Authorized Official
Title or Position : PRESIDENT
Name : OLAYINKA OGUNRO
Credential : MD
Telephone Number : 972-296-3875
Provider Enumeration Date : 05/29/2007
Last Update Date : 05/02/2011

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Directions to “HAND & UPPER EXTREMITY CENTER ” Practice Location

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