Provider Demographics
NPI:1225487929
Name:HYNES, ALLY M (MD)
Entity Type:Individual
Prefix:
First Name:ALLY
Middle Name:M
Last Name:HYNES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ALLYSON
Other - Middle Name:MARIE
Other - Last Name:HYNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2211 LOMAS BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-2719
Mailing Address - Country:US
Mailing Address - Phone:505-272-5560
Mailing Address - Fax:505-272-6503
Practice Address - Street 1:2211 LOMAS BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-4206
Practice Address - Country:US
Practice Address - Phone:505-272-5560
Practice Address - Fax:505-272-6503
Is Sole Proprietor?:No
Enumeration Date:2016-06-03
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD466245207P00000X
NMMD2021-0659207P00000X, 2086S0127X, 2086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery