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Organization
RANDY HINES MD PA
Active
Organization
RANDY HINES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS RANDALL HINES MD (OWNER)
(806) 677-0500
Entity
Organization
Contact information
Practice address
3501 S SONCY RD STE 1002, AMARILLO, TX 79119-4932
(806) 677-0500
(806) 677-0860
Mailing address
3501 S SONCY RD STE 1002, AMARILLO, TX 79119-4932
(806) 677-0500
(806) 677-0860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K6469
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00554W
MEDICARE PTAN
TX
05
—
164624201
—
TX
Enumeration date
03/27/2007
Last updated
06/03/2009
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