Randy Hines Md Pa | |
3501 S Soncy Rd Ste 1002 Amarillo TX 79119-4932 | |
(806) 677-0500 | |
(806) 677-0860 |
Full Name | Randy Hines Md Pa |
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Speciality | Family Medicine |
Location | 3501 S Soncy Rd Ste 1002, Amarillo, Texas |
Authorized Official Name and Position | Thomas Randall Hines (OWNER) |
Authorized Official Contact | 8066770500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Randy Hines Md Pa 3501 S Soncy Rd Ste 1002 Amarillo TX 79119-4932 Ph: (806) 677-0500 | Randy Hines Md Pa 3501 S Soncy Rd Ste 1002 Amarillo TX 79119-4932 Ph: (806) 677-0500 |
NPI Number | 1326166497 |
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Provider Enumeration Date | 03/27/2007 |
Last Update Date | 06/03/2009 |
Medicare PECOS PAC ID | 7214910983 |
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Medicare Enrollment ID | O20040611001382 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326166497 | NPI | - | NPPES |
00554W | Other | TX | MEDICARE PTAN |
164624201 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | K6469 (Texas) | Primary |
Provider Name | Thomas R Hines |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336141670 PECOS PAC ID: 0840273512 Enrollment ID: I20040612000526 |
Srinivas Pathapati, Mdpa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6833 Plum Creek Dr, Amarillo, TX 79124 Phone: 806-467-9820 Fax: 806-467-9743 | |
Eres Bella, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5215 S Coulter St Ste 200, Amarillo, TX 79119 Phone: 806-672-9929 Fax: 806-553-1531 | |
Ron K. Rankin, M.d.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 W 14th Ave, Amarillo, TX 79101 Phone: 806-622-2725 Fax: 806-352-4887 | |