Organization
CYNTHIA R. HINES, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA R. HINES M.D. (OWNER)
(479) 964-9119
Entity
Organization
Contact information
Practice address
1808 W MAIN ST, RUSSELLVILLE, AR 72801-2724
(479) 964-9119
(479) 964-9491
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(479) 968-4273
(479) 968-1363
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5B156
ARK BLUE CROSS
AR
Enumeration date
03/21/2006
Last updated
08/22/2020
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