MEDICARE: HINA M ALI FNP

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	207Q00000X	Family Medicine Physician	AP138441	TX

General Provider Information

NPI Number	:	1710461249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HINA M ALI FNP

Provider Business Mailing Address
First Line	:	8121 BROADWAY ST STE 103
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77061-1341
Country	:	US
Telephone Number	:	713-640-2273
Fax Number	:

Provider Business Practice Location Address
First Line	:	8121 BROADWAY ST STE 103
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77061-1341
Country	:	US
Telephone Number	:	713-640-2273
Fax Number	:

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

Provider Enumeration Date	:	09/20/2018
Last Update Date	:	09/20/2018

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