Organization
NORTHWEST HOUSTON HAND CENTER PA
Active
Organization
NORTHWEST HOUSTON HAND CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH ALPHONES LOPEZ MD (MEDICAL DIRECTOR SURGEON)
(713) 812-1612
Entity
Organization
Contact information
Practice address
3726 DACOMA ST, HOUSTON, TX 77092-8906
(713) 812-1612
(713) 537-7371
Mailing address
PO BOX 73547, HOUSTON, TX 77273-3547
(713) 812-1615
(281) 537-7371
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
M0474
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0085ML
BC BS GROUP NUMBER
TX
Enumeration date
09/21/2006
Last updated
08/22/2020
Update your record
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