Provider Demographics
NPI:1306427778
Name:HINTON, HOLLY RENEE
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:RENEE
Last Name:HINTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2745 WESTPOINTE DR APT 627
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-4898
Mailing Address - Country:US
Mailing Address - Phone:520-971-5114
Mailing Address - Fax:
Practice Address - Street 1:4208 GALE MDWS
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-7409
Practice Address - Country:US
Practice Address - Phone:210-310-5630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-17
Last Update Date:2021-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX314870164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse