Provider Demographics
NPI:1871520213
Name:LANKFORD HAND SURGERY ASSOCIATION
Entity type:Organization
Organization Name:LANKFORD HAND SURGERY ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:RESA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEINHOLDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-823-5351
Mailing Address - Street 1:3600 GASTON AVE
Mailing Address - Street 2:SUITE 450
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1800
Mailing Address - Country:US
Mailing Address - Phone:214-823-5351
Mailing Address - Fax:
Practice Address - Street 1:3600 GASTON AVE
Practice Address - Street 2:SUITE 450
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1800
Practice Address - Country:US
Practice Address - Phone:214-823-5351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-28
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXZ00R80R4Medicaid
TX00R80RMedicare PIN