Healthcare Provider Details

I. General information

NPI: 1376859975
Provider Name (Legal Business Name): RENE DANIELLE HINTON M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RENE D TURNER MD

II. Dates (important events)

Enumeration Date: 08/20/2010
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27TH SPECIAL OPERATIONS MEDICAL GROUP 224 W D.L INGRAM AVE, BLDG 1408
CLOVIS NM
88103
US

IV. Provider business mailing address

655 7TH ST BLDG 70078
ROBINS AFB GA
31098-2227
US

V. Phone/Fax

Practice location:
  • Phone: 575-904-4050
  • Fax:
Mailing address:
  • Phone: 478-327-8311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD2023-1283
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number29691
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: