Individual
DR. DWIGHT A HINES II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
203 S 3RD ST, GRANDVIEW, TX 76050-2165
(817) 866-2100
Mailing address
203 S 3RD ST, GRANDVIEW, TX 76050-2165
(817) 866-2100
(817) 866-2169
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
J5587
TX
207Q00000X
Family Medicine Physician
Primary
J5587
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115972504
—
TX
Enumeration date
04/18/2006
Last updated
03/02/2011
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