ALLIANCE HAND AND WRIST SURGERY – NPI #1780202499
Surgery

A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

ALLIANCE HAND AND WRIST SURGERY is a surgeon located in KELLER, TX. NPPES has assigned the NPI number 1780202499 to ALLIANCE HAND AND WRIST SURGERY on July 09, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0105X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Surgery of the Hand

The NPI profile was previously updated about 4 years ago on Sep 28, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALLIANCE HAND AND WRIST SURGERY below.

NPI Profile for
ALLIANCE HAND AND WRIST SURGERY

NPI Number
1780202499
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALLIANCE HAND AND WRIST SURGERY
Primary location
1668 KELLER PKWY STE 300
KELLER, TX 76248-3710
Phone: (267) 408-9036 Fax:
1 Other location(s):
811 W I 20 Unit G10
Arlington, TX 76017-5871
Phone: (817) 404-4811
Mailing address
2140 E SOUTHLAKE BLVD STE L-605
SOUTHLAKE, TX 76092-6516
Phone: Fax:
Organization Subpart
No
Authorized Official
SHUSHAN JACOB
PHYSICIAN/MANAGER
Phone: (267) 408-9036
Updated
Certification Date
Sep 28, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0105X
- Surgery / Surgery of the Hand (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.