Provider Demographics
NPI:1851024632
Name:HEALING HANDS MEDICAL CLINIC
Entity Type:Organization
Organization Name:HEALING HANDS MEDICAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALASE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-386-8709
Mailing Address - Street 1:HEALING HANDS MEDICAL CLINIC
Mailing Address - Street 2:P.O BOX 52844
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79710-2381
Mailing Address - Country:US
Mailing Address - Phone:432-400-2222
Mailing Address - Fax:432-400-0807
Practice Address - Street 1:207 TRADEWINDS BLVD STE C
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79706-2807
Practice Address - Country:US
Practice Address - Phone:432-400-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-08
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty