Hines, Charles Jefferson

Hines, Charles Jefferson is an sole proprietor health care provider with primary practice located at 1200 E Savannah Ave Suite # 8, Mcallen TX 78503-1727. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hines, Charles Jefferson can be contacted via phone (956) 631-8888.

Contact Information

Primary practice address
1200 E Savannah Ave Suite # 8 Mcallen TX 78503-1727
Fax: (956) 631-1037
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E2618 Texas

Profile Details

NPI number 1174587471
LBN Legal business name Hines, Charles Jefferson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2006
Last updated Feb 18th, 2016 - about 8 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 1174587471 NPPES
Texas Other 00HA36 BC/BS
Texas MEDICAID 115010401 BC/BS
Texas Other RAILROAD MEDICRE BC/BS

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