Provider Demographics
NPI:1972832046
Name:ALLIED HAND & & ORTHOPEDICS AUSTIN PA
Entity Type:Organization
Organization Name:ALLIED HAND & & ORTHOPEDICS AUSTIN PA
Other - Org Name:BROWN HAND CENTER, AUSTIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN ACTIVE SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDOLPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:M,D,
Authorized Official - Phone:713-586-3190
Mailing Address - Street 1:PO BOX 924587
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77292-4587
Mailing Address - Country:US
Mailing Address - Phone:713-586-6705
Mailing Address - Fax:713-586-6752
Practice Address - Street 1:3107 OAK CREEK DRIVE
Practice Address - Street 2:STE 100
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78727
Practice Address - Country:US
Practice Address - Phone:713-586-6705
Practice Address - Fax:713-586-6752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-18
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the HandGroup - Single Specialty