Provider Demographics
NPI:1225068604
Name:HINKLE, MARCUS ERIC (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:ERIC
Last Name:HINKLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 E 332, SUITE G
Mailing Address - Street 2:
Mailing Address - City:BRAZORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77422
Mailing Address - Country:US
Mailing Address - Phone:979-798-8003
Mailing Address - Fax:
Practice Address - Street 1:3084 COUNTY ROAD 310
Practice Address - Street 2:
Practice Address - City:BRAZORIA
Practice Address - State:TX
Practice Address - Zip Code:77422-6305
Practice Address - Country:US
Practice Address - Phone:979-964-4663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9709207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine