Provider Demographics
NPI:1477551414
Name:HINTON, LESLIE MARIE (ANP)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:MARIE
Last Name:HINTON
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 CITIZENS PLAZA
Mailing Address - Street 2:SUITE 203
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-5754
Mailing Address - Country:US
Mailing Address - Phone:361-574-1517
Mailing Address - Fax:361-574-1518
Practice Address - Street 1:2700 CITIZENS PLZ
Practice Address - Street 2:SUITE 203
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-5754
Practice Address - Country:US
Practice Address - Phone:361-574-1517
Practice Address - Fax:361-574-1518
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2009-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX626289363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX144386302Medicaid
TX8N3514OtherBCBS
TX8N3514OtherBCBS