# DERRICK S. HINES M.D. P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003912692
- **Authorized official:** DR. DERRICK SHAYNE HINES M.D. (PRESIDENT)
- **Authorized official phone:** (602) 275-1348

## Contact information

- **Practice address:** 8208 S 18TH PL, PHOENIX, AZ 85042-6837
- **Practice address phone:** (602) 275-1348
- **Mailing address:** 8208 S 18TH PL, PHOENIX, AZ 85042-6837
- **Mailing address phone:** (602) 275-1348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 31380 | AZ | Yes |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 09/29/2010