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

Primary practice address
1750 N Hampton Rd Desoto TX 75115-2306
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063616126 NPPES
Texas MEDICAID 194129603

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