# ALLIANCE HAND AND WRIST SURGERY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780202499
- **Authorized official:** SHUSHAN JACOB (PHYSICIAN/MANAGER)
- **Authorized official phone:** (267) 408-9036

## Contact information

- **Practice address:** 1668 KELLER PKWY STE 300, KELLER, TX 76248-3710
- **Practice address phone:** (267) 408-9036
- **Mailing address:** 2140 E SOUTHLAKE BLVD STE L-605, SOUTHLAKE, TX 76092-6516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | — | NULL | Yes |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/09/2020
- **Last updated:** 09/28/2022