Provider Demographics
NPI:1699712794
Name:HINES, DENNIS T (MD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:T
Last Name:HINES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:620 MASSEY TOMKINS ROAD
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521
Mailing Address - Country:US
Mailing Address - Phone:281-427-6363
Mailing Address - Fax:281-838-8393
Practice Address - Street 1:2610 N ALEXANDER DR STE 201
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-3399
Practice Address - Country:US
Practice Address - Phone:281-427-6363
Practice Address - Fax:281-420-6867
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK6602207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8D3895Medicare PIN
TXA94893Medicare UPIN