Benjamin Travis Hines, MD | |
1750 N Hampton Rd, Desoto, TX 75115-2306 | |
(214) 946-4397 | |
Not Available |
Full Name | Benjamin Travis Hines |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 1750 N Hampton Rd, Desoto, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063616126 | NPI | - | NPPES |
194129603 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | M6190 (Texas) | Primary |
Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
Mailing Address | Practice Location Address |
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Benjamin Travis Hines, MD 1750 N Hampton Rd, Desoto, TX 75115-2306 Ph: (214) 946-4397 | Benjamin Travis Hines, MD 1750 N Hampton Rd, Desoto, TX 75115-2306 Ph: (214) 946-4397 |
Brian Robert Crowhurst, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1750 North Hampton Road, Desoto, TX 75115 Phone: 214-946-4397 Fax: 214-946-4399 | |
John D Wilson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1750 North Hampton Road, Desoto, TX 75115 Phone: 817-321-0404 | |
Michelle Moate, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1750 N Hampton Rd, Desoto, TX 75115 Phone: 214-946-4397 Fax: 214-946-4399 | |
David Leifer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1750 North Hampton Road, Desoto, TX 75115 Phone: 214-946-4397 Fax: 214-946-4399 | |
Tamara Campbell, MD Radiology Medicare: Medicare Enrolled Practice Location: 1750 North Hampton Road, Desoto, TX 75115 Phone: 214-946-4397 Fax: 214-946-4399 | |
Timothy Ponder, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1750 North Hampton Road, Desoto, TX 75115 Phone: 214-946-4397 Fax: 214-946-4399 |