# HINES FAMILY CARE CENTER INC

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

## Provider details

- **NPI number:** 1679671929
- **Authorized official:** DR. WILLIAM ELVIS HINES MD (CHAIRMAN/PRESIDENT)
- **Authorized official phone:** (314) 830-1900

## Contact information

- **Practice address:** 13300 NEW HALLS FERRY RD, STE C, FLORISSANT, MO 63033-3251
- **Practice address phone:** (314) 830-1900
- **Practice address fax:** (314) 830-4530
- **Mailing address:** 13300 NEW HALLS FERRY RD, STE C, FLORISSANT, MO 63033-3251
- **Mailing address phone:** (314) 830-1900
- **Mailing address fax:** (314) 830-4530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 4301050425 | MI | — |
| 207Q00000X | Family Medicine Physician | MDR4G28 | MO | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 11/05/2007