MEDICARE: MR. KEVIN HINES BASTIN ATC, LAT

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	2255A2300X	Athletic Trainer	AT2466	TX

General Provider Information

NPI Number	:	1932236932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KEVIN HINES BASTIN ATC, LAT

Provider Business Mailing Address
First Line	:	4402 DANBURY LN
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3821
Country	:	US
Telephone Number	:	832-667-2214
Fax Number	:

Provider Business Practice Location Address
First Line	:	4402 DANBURY LN
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3821
Country	:	US
Telephone Number	:	832-667-2214
Fax Number	:

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

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1730555343 — NELLY ESCOBAR
Practice Location Address:

3821 BENERAID ST
LAND O LAKES, FL
34638-7923

Practice Phone: 706-201-9237
Practice Fax:

1487486916 — ESCOBAR THERAPY SERVICES LLC
Practice Location Address:

3821 BENERAID ST
LAND O LAKES, FL
34638-7923

Practice Phone: 706-201-9237
Practice Fax:

1366495244 — E PLUS PET IMAGING XI LP
Practice Location Address:

17320 W GRAND PKWY S , SUITE A
SUGAR LAND, TX
77479-7902

Practice Phone: 832-595-2713
Practice Fax: 832-595-2714

1770561912 — JESSICA SCHULTZ M.D.
Practice Location Address:

17402 W GRAND PKWY S STE 400
SUGAR LAND, TX
77479-2564

Practice Phone: 281-238-3770
Practice Fax:

1043245988 — DR. PREM KUMAR NOWLAKHA M.D.,
Practice Location Address:

3511 TOWN CENTER BLVD S
SUGAR LAND, TX
77479-1285

Practice Phone: 281-565-0738
Practice Fax:

1306715495 — REBECCA SHARON LEVY WHNP-BC
Practice Location Address:

3006 COLONIAL DR
SUGAR LAND, TX
77479-1501

Practice Phone: 832-767-9553
Practice Fax:

Directions to “ MR. KEVIN HINES BASTIN ATC, LAT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.