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
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