Provider Demographics
NPI:1275810681
Name:ROBERT A HANDLEY MD PLLC
Entity Type:Organization
Organization Name:ROBERT A HANDLEY MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-410-5757
Mailing Address - Street 1:870 INTERNATIONAL PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-4280
Mailing Address - Country:US
Mailing Address - Phone:972-410-5757
Mailing Address - Fax:972-410-5759
Practice Address - Street 1:870 INTERNATIONAL PKWY STE 200
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-4280
Practice Address - Country:US
Practice Address - Phone:972-410-5757
Practice Address - Fax:972-410-5759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-14
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL08142085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH25317Medicare UPIN