Provider Demographics
NPI:1073728333
Name:HAND REHABILATION ASSOCIATES OF
Entity Type:Organization
Organization Name:HAND REHABILATION ASSOCIATES OF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:A
Authorized Official - Last Name:VALDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:BSB
Authorized Official - Phone:210-558-4263
Mailing Address - Street 1:21 SPURS LN
Mailing Address - Street 2:SUITE 320
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1634
Mailing Address - Country:US
Mailing Address - Phone:210-558-4263
Mailing Address - Fax:210-558-6730
Practice Address - Street 1:21 SPURS LN
Practice Address - Street 2:SUITE 320
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1634
Practice Address - Country:US
Practice Address - Phone:210-558-4263
Practice Address - Fax:210-558-6730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1252510001Medicare NSC