Provider Demographics
NPI:1902280589
Name:OMNI HAND SURGERY, PLLC
Entity Type:Organization
Organization Name:OMNI HAND SURGERY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:LAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-707-5207
Mailing Address - Street 1:2300 LEONARD ST
Mailing Address - Street 2:505
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-2020
Mailing Address - Country:US
Mailing Address - Phone:903-707-5207
Mailing Address - Fax:214-705-1204
Practice Address - Street 1:4500 HILLCREST RD STE 185
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-5401
Practice Address - Country:US
Practice Address - Phone:903-707-5207
Practice Address - Fax:214-705-1204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-14
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN72822082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the HandGroup - Single Specialty