Individual
RICHARD A HINES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6690
Mailing address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.203296
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093491
—
LA
Enumeration date
05/16/2008
Last updated
07/05/2017
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