Individual
DR. NATHAN CHARLES HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(210) 292-7361
Mailing address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(210) 292-7361
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01022074464
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52112060
DRIVERS LICENSE
TX
01
—
928120982
DRIVERS LICENSE
AR
Enumeration date
03/29/2021
Last updated
04/05/2026
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