DERRICK S. HINES M.D. P.C.; NPI #1003912692

Contact Information

DERRICK S. HINES M.D. P.C.

8208 S 18TH PL
PHOENIX, AZ 85042-6837

Phone: 602-275-1348
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Child & Adolescent Psychiatry	2084P0804X	86	Physician/Neuropsychiatry

Indicates primary specialty

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NPI Profile & details for DERRICK S. HINES M.D. P.C.

NPI # 1003912692

LBN Legal business name DERRICK S. HINES M.D. P.C.

Authorized official DERRICK HINES - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/15/2006

Last updated 09/29/2010 - About 16 years ago

Identifiers

License #

31380

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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DERRICK S. HINES M.D. P.C.

Contact Information

Specialty

Child & Adolescent Psychiatry

NPI Profile & details for DERRICK S. HINES M.D. P.C.

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