Doctor Name: | BENJAMIN TRAVIS HINES |
NPI Number: | 1063616126 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | M6190 |
Business Practice Address: | 1750 N Hampton Rd Desoto, TX - 751152306 |
Business Phone Number: | 2149464397 |
Business Fax Number: | |
Mailing Address: | 1750 N Hampton Rd, DESOTO |
State: | TX |
Postal Code: | 751152306 |
Phone Number: | 2149464397 |
Fax Number: | 2149464399 |
NPI Enumeration Date: | 06/13/2007 |
NPI Last Update Date: | 01/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | M6190 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |