Provider Demographics
NPI:1811042096
Name:HAND AND MICROSURGERY
Entity Type:Organization
Organization Name:HAND AND MICROSURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ALANIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-615-5376
Mailing Address - Street 1:8550 DATAPOINT DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3270
Mailing Address - Country:US
Mailing Address - Phone:210-615-5350
Mailing Address - Fax:210-615-5360
Practice Address - Street 1:8550 DATAPOINT DR
Practice Address - Street 2:SUITE 110
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3270
Practice Address - Country:US
Practice Address - Phone:210-615-5350
Practice Address - Fax:210-615-5360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the HandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXCN8992OtherMEDICARE RAILROAD
TX084242901Medicaid
TX084242901Medicaid