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NPI Code Detail

MEDICARE: STEPHEN LEE HINES MD

MEDICARE: STEPHEN LEE 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
1207RH0002XHospice and Palliative Medicine (Internal Medicine) PhysicianL9734TX
2207R00000XInternal Medicine PhysicianL9734TX

General Provider Information

NPI Number : 1699750372
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN LEE HINES MD
Provider Business Mailing Address
First Line : 8205 MIDWAY RD
Second Line :
City : DALLAS
State : TX
Zip : 75209-2831
Country : US
Telephone Number : 214-724-6113
Fax Number :
Provider Business Practice Location Address
First Line : 122 W COLORADO BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75208-2382
Country : US
Telephone Number : 214-947-6700
Fax Number : 214-947-6701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2005
Last Update Date : 10/23/2023

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Directions to “ STEPHEN LEE HINES MD” Practice Location

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