Provider Demographics
NPI:1508429044
Name:HINES, BRIGIT A (NP)
Entity Type:Individual
Prefix:
First Name:BRIGIT
Middle Name:A
Last Name:HINES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9235 N HIGHWAY 146 STE 2
Mailing Address - Street 2:
Mailing Address - City:MONT BELVIEU
Mailing Address - State:TX
Mailing Address - Zip Code:77523-9503
Mailing Address - Country:US
Mailing Address - Phone:281-385-8111
Mailing Address - Fax:832-307-7102
Practice Address - Street 1:9235 N HIGHWAY 146 STE 2
Practice Address - Street 2:
Practice Address - City:MONT BELVIEU
Practice Address - State:TX
Practice Address - Zip Code:77523-9503
Practice Address - Country:US
Practice Address - Phone:281-385-8111
Practice Address - Fax:832-307-7102
Is Sole Proprietor?:No
Enumeration Date:2019-04-19
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141023363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner