| The Hand Surgery Clinic | |
|
9 Medical Pkwy Ste 101 Dallas TX 75234-7852 | |
| (972) 919-4747 | |
| (972) 919-4749 |
| Full Name | The Hand Surgery Clinic |
|---|---|
| Speciality | Surgery |
| Location | 9 Medical Pkwy Ste 101, Dallas, Texas |
| Authorized Official Name and Position | Dustin Ray (OWNER) |
| Authorized Official Contact | 8885443339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Hand Surgery Clinic 9 Medical Pkwy Ste 101 Dallas TX 75234-7852 Ph: (888) 544-3339 | The Hand Surgery Clinic 9 Medical Pkwy Ste 101 Dallas TX 75234-7852 Ph: (972) 919-4747 |
| NPI Number | 1780110684 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 08/05/2022 |
| Certification Date | 08/05/2022 |
| Medicare PECOS PAC ID | 4183049315 |
|---|---|
| Medicare Enrollment ID | O20200805002957 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780110684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Secondary |
| 2086S0105X | Surgery - Surgery Of The Hand | (* (Not Available)) | Primary |
| Provider Name | Thomas Alexander Mitchell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831128297 PECOS PAC ID: 3173594207 Enrollment ID: I20040803000997 |
| Provider Name | Igor Rakovchik |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982868899 PECOS PAC ID: 3375673304 Enrollment ID: I20100617000294 |
| Provider Name | Simon Sy Tan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811001365 PECOS PAC ID: 2567363187 Enrollment ID: I20101008000268 |
| Provider Name | Dustin L Ray |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1639351216 PECOS PAC ID: 1557543436 Enrollment ID: I20110314000922 |
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