Provider Demographics
NPI:1033728324
Name:HINCHMAN, OUMA KALTOUM
Entity Type:Individual
Prefix:
First Name:OUMA
Middle Name:KALTOUM
Last Name:HINCHMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 HAVERWOOD LN APT 1223
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-4211
Mailing Address - Country:US
Mailing Address - Phone:214-586-2254
Mailing Address - Fax:
Practice Address - Street 1:4701 HAVERWOOD LN APT 1223
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-4211
Practice Address - Country:US
Practice Address - Phone:214-586-2254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1003643163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse