Individual
MS. CHELLYANNE HINDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1210 W BRAKER LN, AUSTIN, TX 78758-3801
(512) 978-9300
(512) 279-2556
Mailing address
1210 W BRAKER LN, AUSTIN, TX 78758-3801
(512) 978-9300
(512) 279-2556
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
006136
NY
363AM0700X
Medical Physician Assistant
Primary
PA05206
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00Y095
GROUP PTAN
TX
01
—
8Y4022
BCBS PVN
TX
Enumeration date
02/15/2006
Last updated
03/08/2017
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