NPI | 1114974615 |
---|---|
Doing Business As | HINES FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | JOHN RAYMOND HINES CEO 870-236-4100 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E3472) |
Enumeration Date | 2006-05-28 |
Last Update Date | 2011-04-07 |