Organization
HINES FAMILY CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ELVIS HINES MD (CHAIRMAN/PRESIDENT)
(314) 830-1900
Entity
Organization
Contact information
Practice address
13300 NEW HALLS FERRY RD, STE C, FLORISSANT, MO 63033-3251
(314) 830-1900
(314) 830-4530
Mailing address
13300 NEW HALLS FERRY RD, STE C, FLORISSANT, MO 63033-3251
(314) 830-1900
(314) 830-4530
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301050425
MI
207Q00000X
Family Medicine Physician
Primary
MDR4G28
MO
Other
Enumeration date
09/20/2006
Last updated
11/05/2007
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