Provider Demographics
NPI:1265036255
Name:HINSON HEALTH LLC
Entity Type:Organization
Organization Name:HINSON HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:K
Authorized Official - Last Name:HINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-513-1327
Mailing Address - Street 1:PO BOX 13440
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71315-3440
Mailing Address - Country:US
Mailing Address - Phone:903-513-1327
Mailing Address - Fax:
Practice Address - Street 1:104 N 3RD ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-8581
Practice Address - Country:US
Practice Address - Phone:903-513-1327
Practice Address - Fax:318-448-6454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty