Provider Demographics
NPI:1144894395
Name:HEALING HANDS FAMILY PRACTICE AND AESTHETICS CORP
Entity type:Organization
Organization Name:HEALING HANDS FAMILY PRACTICE AND AESTHETICS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALVARO
Authorized Official - Middle Name:
Authorized Official - Last Name:PINILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-275-2224
Mailing Address - Street 1:1141 E GLENDALE AVE STE 1094
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-5316
Mailing Address - Country:US
Mailing Address - Phone:832-818-6247
Mailing Address - Fax:
Practice Address - Street 1:1141 E GLENDALE AVE STE 1094
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-5316
Practice Address - Country:US
Practice Address - Phone:832-818-6247
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-13
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty