MEDICARE: KRYSTAL HINES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103TB0200X	Cognitive & Behavioral Psychologist
2	103TC1900X	Counseling Psychologist
3	103TC2200X	Clinical Child & Adolescent Psychologist
4	103TH0100X	Health Service Psychologist
5	104100000X	Social Worker
6	251B00000X	Case Management Agency
7	251S00000X	Community/Behavioral Health Agency
8	253J00000X	Foster Care Agency
9	261QA0600X	Adult Day Care Clinic/Center
10	3104A0625X	Assisted Living Facility (Mental Illness)
11	311Z00000X	Custodial Care Facility
12	311ZA0620X	Adult Care Home Facility
13	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
14	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
15	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1619692373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRYSTAL HINES

Provider Business Mailing Address
First Line	:	790 W LITTLE YORK RD APT 2702
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77091-2454
Country	:	US
Telephone Number	:	832-785-2164
Fax Number	:

Provider Business Practice Location Address
First Line	:	790 W LITTLE YORK RD APT 2702
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77091-2454
Country	:	US
Telephone Number	:	832-785-2164
Fax Number	:

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

Provider Enumeration Date	:	10/05/2022
Last Update Date	:	10/05/2022

Similar Medicare Providers

1184658791 — DR. MICHAEL ANTHONY AMARO M.D.
Practice Location Address:

12121 RICHMOND AVE STE 203
HOUSTON, TX
77082-2454

Practice Phone: 281-558-5855
Practice Fax: 281-558-5828

1386669513 — DR. DANIEL DINH LE M.D.
Practice Location Address:

12121 RICHMOND AVE STE 225
HOUSTON, TX
77082-2454

Practice Phone: 281-575-1144
Practice Fax: 281-575-8114

1578587341 — DWAYNE WILSON M.D.
Practice Location Address:

2454 CAMP TRAVIS
FORT SAM HOUSTON, TX
78234-7671

Practice Phone: 401-419-6040
Practice Fax:

1093991366 — DR. ARIF IQBAL O.D.
Practice Location Address:

2454 FM 1960 RD W
HOUSTON, TX
77068-3720

Practice Phone: 281-537-2020
Practice Fax: 281-537-2020

1679731970 — CHERYL K. JOHNSON MD PA
Practice Location Address:

12121 RICHMOND AVE STE 226
HOUSTON, TX
77082-2454

Practice Phone: 281-597-0991
Practice Fax: 281-597-0470

1629614995 — NIKISHA ONYENEZI
Practice Location Address:

12121 RICHMOND AVE STE 226
HOUSTON, TX
77082-2454

Practice Phone: 713-468-2358
Practice Fax:

Directions to “ KRYSTAL HINES ” 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 © 2007-2026 (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.