Individual
DR. MARK ALLAN HINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 BERGQUIST DR, STE 1, LACKLAND A F B, TX 78236-9907
(228) 257-1978
(210) 292-2520
Mailing address
2200 BERGQUIST DR, STE 1, LACKLAND A F B, TX 78236-9907
(228) 257-1978
(210) 292-2520
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
K1216
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
K1216
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396717781
TRICARE
TX
05
—
1396717781
—
TX
Enumeration date
02/02/2006
Last updated
12/31/2013
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