1144855222 NPI number — THERAPEUTIC HANDS MEDICAL CARE PLLC

Table of content: (NPI 1144855222)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144855222 NPI number — THERAPEUTIC HANDS MEDICAL CARE PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THERAPEUTIC HANDS MEDICAL CARE PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144855222
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/06/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
610 UPTOWN BLVD STE 2000
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CEDAR HILL
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75104-3528
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
469-248-6240
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
475 E FM 1382 UNIT 4321
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CEDAR HILL
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75106-5198
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
945-240-1598
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/09/2020

Additional Information

Authorized Official

Authorized Official Last Name:
BOLDER
Authorized Official First Name:
TIRA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
945-240-1598

Provider Taxonomy Codes

  • Taxonomy code: 363LA2100X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1902176605 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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