Provider Demographics
NPI:1114917796
Name:HAND, DONNA M (DO)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:M
Last Name:HAND
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1509
Mailing Address - Street 2:
Mailing Address - City:LINDALE
Mailing Address - State:TX
Mailing Address - Zip Code:75771-1509
Mailing Address - Country:US
Mailing Address - Phone:903-882-3194
Mailing Address - Fax:903-882-7405
Practice Address - Street 1:103 E NORTH ST
Practice Address - Street 2:
Practice Address - City:LINDALE
Practice Address - State:TX
Practice Address - Zip Code:75771-3116
Practice Address - Country:US
Practice Address - Phone:903-882-3194
Practice Address - Fax:903-882-7405
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0424207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX112134501Medicaid
A66826Medicare UPIN
TX112134501Medicaid