LIBERTY SURGICAL ASSOCIATES PLLC (NPI# 1336488501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336488501 |
Entity Type | Organization |
Organization Name | LIBERTY SURGICAL ASSOCIATES PLLC |
Other Organization Name | COVENANT HAND CENTER |
Practice Address |
306 E. Randol Mill Rd. Suite136 Arlington TX 76011 |
Mailing Address |
Po Box 202428 Arlington TX 76006 |
Practice Telephone | 8172242292 |
Practice Fax Number | 8662799993 |
Mailing Telephone | 8172242292 |
Mailing Fax Number | 8662799993 |
Enumeration Date | 2013-02-08 |
Last Update Date | 2013-08-09 |
Authorized Official Name | DR. DUSTIN L RAY (OWNER) |
Authorized Official Telephone | 2022710205 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
N6605 | TX | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Covenant Hand Center | Doing Business As Name - Organization |
Street Address |
306 E. RANDOL MILL RD. SUITE136 |
City | ARLINGTON |
State | TX |
Zip Code | 76011 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285271361 | Shaina Jayde Arellano | Nurse Practitioner | 420 E Lamar Blvd, Ste 204, Arlington, TX 76011 | 2019-12-07 |
1649827536 | Epic Chiropractic Solutions Pllc | Chiropractor | 600 Six Flags Drive, Center Point Three, Suite 442, Arlington, TX 76011 | 2019-08-25 |
1811452162 | Daniel Max & Marcandrea LLC | Optometrist | 1705 N Collins St #141, Arlington, TX 76011 | 2019-01-31 |
1881196343 | Albitar Medical Consulting Pllc | Internal Medicine | 1000 Cooper Street, Arlington, TX 76011 | 2018-03-01 |
1467974279 | Affinity Sleep Care | Respiratory Therapist, Certified | 601 Magic Mile St, Arlington, TX 76011 | 2017-07-13 |
1609314392 | Post Acute Specialists, Pa | Family Medicine | 835 E Lamar Blvd # 141, Arlington, TX 76011 | 2017-02-02 |
1811350366 | Kristina Elayne Plano | Counselor | 1112 E. Copeland Road, Suite 310, Arlington, TX 76011 | 2016-04-01 |
1104298686 | North Texas Mobile Urgent Care, Pllc | Nurse Practitioner | 805 Washington Dr., Suite F, Arlington, TX 76011 | 2015-10-23 |
1265819916 | Etta Leora Hammie | Licensed Practical Nurse | 2327 Oakland Blvd, Ft. Worth, TX 76011 | 2015-05-01 |
1548675010 | Kathleen Hall Pignatelli | Licensed Vocational Nurse | 536 W. Randol Rd., Arlington, TX 76011 | 2014-06-24 |
Find all providers in zip 76011 |
Taxonomy Code | 207XS0106X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Hand Surgery |
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528585296 | Orthopaedic Hand Associates-mah LLC | Orthopaedic Surgery | 22 Mill St Ste 302, Arlington, MA 02476-4744 | 2017-08-24 |
1932375144 | Cassie Gyuricza Root | Orthopaedic Surgery | 1715 N George Mason Dr, Suite 504, Arlington, VA 22205-3609 | 2008-05-07 |
1407029077 | Cameron Theodore Atkinson | Orthopaedic Surgery | 800 Orthopedic Way, Arlington, TX 76015-1629 | 2008-04-03 |
1518986348 | Jeffrey L Lovallo | Orthopaedic Surgery | 2445 Army Navy Dr, Arlington, VA 22206-2905 | 2006-07-19 |
1487649281 | Alan Neil Ertel | Orthopaedic Surgery | 22 Mill St, Suite 302, Arlington, MA 02476-4784 | 2005-09-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
1770939696 | Coastal Bend Orthopaedic Specialists, Pllc | Orthopaedic Surgery | 49 W Bar Le Doc Dr, Corpus Christi, TX 78414-6250 | 2016-05-10 |
1619343159 | Tmh Physician Organization | Orthopaedic Surgery | 6624 Fannin, Suite 2600, Houston, TX 77030-2338 | 2015-08-19 |
1720454291 | Tmh Physician Organization | Orthopaedic Surgery | 17198 St Lukes Way Ste 600, The Woodlands, TX 77384-8017 | 2015-08-19 |
1174999619 | Tmh Physician Organization | Orthopaedic Surgery | 10905 Memorial Hermann Dr Ste 120, Pearland, TX 77584-3490 | 2015-08-19 |
1093181562 | Tmh Physician Organization | Orthopaedic Surgery | 915 Gessner Rd., Pro 3, Suite 560, Houston, TX 77024-2572 | 2015-08-19 |
1760740930 | Jessica Wingfield | Orthopaedic Surgery | 12230 Coit Rd Ste 100, Dallas, TX 75251-2323 | 2012-04-25 |
1841596772 | Charity Mamaa Ogunro | Orthopaedic Surgery | 3670 W Wheatland Rd, Dallas, TX 75237-3462 | 2011-02-10 |
1598068835 | Michael Vernon Doyle Md | Orthopaedic Surgery | 8220 Walnut Hill Ln Ste 606, Dallas, TX 75231-4424 | 2010-12-08 |
1942520515 | Bryce Reed Bell | Orthopaedic Surgery | 18200 Katy Fwy Ste 520, Houston, TX 77094-1285 | 2010-06-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.