Hines, Benjamin Travis
Hines, Benjamin Travis is an individual health care provider with primary practice located at 1750 N Hampton Rd , Desoto TX 75115-2306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Hines, Benjamin Travis can be contacted via phone (214) 946-4397.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | M6190 | Texas |
Profile Details
NPI number | 1063616126 |
---|---|
LBN Legal business name | Hines, Benjamin Travis |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 13th, 2007 |
Last updated | Jan 24th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063616126 | NPPES |
Texas | MEDICAID | 194129603 |
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