Provider Demographics
NPI:1376542142
Name:HINTON, HAROLD R (CRNA)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:R
Last Name:HINTON
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 EUREKA STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-5880
Mailing Address - Country:US
Mailing Address - Phone:817-598-9328
Mailing Address - Fax:817-599-4902
Practice Address - Street 1:907 EUREKA ST STE B
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-5880
Practice Address - Country:US
Practice Address - Phone:817-598-9328
Practice Address - Fax:817-599-4902
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2017-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX632720367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150187603Medicaid
TX150187601Medicaid
TXP00754963OtherRAILROAD
TX150187607Medicaid
TX85441UOtherBCBS
TX87563HMedicare PIN
TX8G0602Medicare PIN
TXP49750Medicare UPIN