Individual
DEREK LEONARD HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
636 GAUSE BLVD, SUITE 200, SLIDELL, LA 70458-2007
(985) 641-8008
(985) 649-4063
Mailing address
PO BOX 3249, SLIDELL, LA 70459-3249
(985) 641-8008
(985) 649-4063
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP05510
LA
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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