MEDICARE: WARREN EDWARD HINTON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	D-5402	TX

General Provider Information

NPI Number	:	1477651768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WARREN EDWARD HINTON M.D.

Provider Business Mailing Address
First Line	:	1218 ZEPHYR TRL
Second Line	:
City	:	STEAMBOAT SPRINGS
State	:	CO
Zip	:	80487-1791
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	810 PEAKWOOD DR
Second Line	:	SUITE 107
City	:	HOUSTON
State	:	TX
Zip	:	77090-2921
Country	:	US
Telephone Number	:	281-440-5158
Fax Number	:	281-440-8549

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	07/12/2007

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