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NPI Code Detail

MEDICARE: TIMOTHY REED HINES MD

MEDICARE: TIMOTHY REED HINES MD
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
1207RN0300XNephrology PhysicianH3322TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063446359
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY REED HINES MD
Provider Business Mailing Address
First Line : 408 W 45TH ST
Second Line :
City : AUSTIN
State : TX
Zip : 78751-3014
Country : US
Telephone Number : 512-451-5800
Fax Number : 512-459-1399
Provider Business Practice Location Address
First Line : 408 W 45TH ST
Second Line :
City : AUSTIN
State : TX
Zip : 78751-3014
Country : US
Telephone Number : 512-451-5800
Fax Number : 512-459-1399
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 07/14/2015

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Directions to “ TIMOTHY REED HINES MD” Practice Location

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