Individual
JENNIFER R HINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 W CANNON ST, FORT WORTH, TX 76104-3147
(817) 250-7195
Mailing address
801 W CANNON ST, FORT WORTH, TX 76104-3147
(817) 250-7195
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L4672
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159796503
—
TX
05
—
159796504
—
TX
01
—
8BZ862
BCBS
TX
01
—
8U1331
BCBS
TX
01
—
P00431969
RAILROAD MEDICARE
TX
Enumeration date
07/31/2006
Last updated
01/28/2022
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