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NPI Code Detail

MEDICARE: NORTH HOUSTON HAND CENTER PA

MEDICARE: NORTH HOUSTON HAND CENTER PA
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
1207XS0106XOrthopaedic Hand Surgery PhysicianM0474TX

General Provider Information

NPI Number : 1972604288
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH HOUSTON HAND CENTER PA
Provider Business Mailing Address
First Line : PO BOX 925185
Second Line :
City : HOUSTON
State : TX
Zip : 77292-5185
Country : US
Telephone Number : 713-586-6705
Fax Number : 713-586-6752
Provider Business Practice Location Address
First Line : 3726 DACOMA ST
Second Line :
City : HOUSTON
State : TX
Zip : 77092-8906
Country : US
Telephone Number : 713-812-1612
Fax Number : 713-586-3150
Authorized Official
Title or Position : DIRECTOR MEDICAL CREDENTIALING
Name : LINDA C KELLNER
Credential : DMC
Telephone Number : 713-586-6705
Provider Enumeration Date : 09/26/2006
Last Update Date : 09/01/2010

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Directions to “NORTH HOUSTON HAND CENTER PA ” Practice Location

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