Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | H2436 | TX |
N | 208600000X | Surgeon | H2436 | TX |
Y | 2086S0129X | Vascular Surgeon | H2436 | TX |
NPI | 1073510061 |
---|---|
Provider Name | Victor Vern Hands |
First Address | Amarillo, TX 79102 |
Second Address | Amarillo, TX 79102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2005 |
Last Update Date | 16/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
120385303 | (05) | TX |
84K299 | BCBS (01) | TX |
F32207 | (02) | TX |