Provider Demographics
NPI:1144855222
Name:THERAPEUTIC HANDS MEDICAL CARE PLLC
Entity type:Organization
Organization Name:THERAPEUTIC HANDS MEDICAL CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLDER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:945-240-1598
Mailing Address - Street 1:610 UPTOWN BLVD STE 2000
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-3528
Mailing Address - Country:US
Mailing Address - Phone:469-248-6240
Mailing Address - Fax:
Practice Address - Street 1:475 E FM 1382 UNIT 4321
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75106-5198
Practice Address - Country:US
Practice Address - Phone:945-240-1598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-09
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1902176605Medicaid