Provider Demographics
NPI:1437807203
Name:HAINS, TSHANA LYNN (MEDICAL ASSISTANT)
Entity Type:Individual
Prefix:
First Name:TSHANA
Middle Name:LYNN
Last Name:HAINS
Suffix:
Gender:F
Credentials:MEDICAL ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1511 LINDENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:TX
Mailing Address - Zip Code:77630-2811
Mailing Address - Country:US
Mailing Address - Phone:512-294-4390
Mailing Address - Fax:
Practice Address - Street 1:1511 LINDENWOOD DR
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:TX
Practice Address - Zip Code:77630-2811
Practice Address - Country:US
Practice Address - Phone:512-294-4390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-11
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45D2250680207ZC0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZC0006XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology