Hines, Thomas Randall

Hines, Thomas Randall is an individual health care provider with primary practice located at 25 Medical Dr , Amarillo TX 79106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hines, Thomas Randall can be contacted via phone (806) 677-0500.

Contact Information

Primary practice address
25 Medical Dr Amarillo TX 79106
Phone: (806) 677-0500
Fax: (806) 677-0860
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K6469 Texas

Profile Details

NPI number 1336141670
LBN Legal business name Hines, Thomas Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Aug 21st, 2018 - about 7 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 1336141670 NPPES
Texas Other 0025LE BLUE CROSS OF TEXAS
Texas Other 11518101 BLUE CROSS OF TEXAS
Texas MEDICAID 164624201 BLUE CROSS OF TEXAS
Texas Other 200172742 BLUE CROSS OF TEXAS
Texas MEDICAID 164624202 BLUE CROSS OF TEXAS

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