Provider Demographics
NPI:1538379730
Name:HAND SURGERY AND ORTHOPEDIC ASSOCIATES OF AUSTIN
Entity type:Organization
Organization Name:HAND SURGERY AND ORTHOPEDIC ASSOCIATES OF AUSTIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:FAULKNER
Authorized Official - Last Name:HENGES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-258-4411
Mailing Address - Street 1:11603 JOLLYVILLE RD
Mailing Address - Street 2:#101
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-3933
Mailing Address - Country:US
Mailing Address - Phone:512-258-4411
Mailing Address - Fax:512-258-5456
Practice Address - Street 1:11603 JOLLYVILLE RD
Practice Address - Street 2:#101
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-3933
Practice Address - Country:US
Practice Address - Phone:512-258-4411
Practice Address - Fax:512-258-5456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD24542086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the HandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPOOFP259Medicaid
TXC16809Medicare UPIN
TX00FP25Medicare ID - Type Unspecified