Provider Demographics
NPI:1578825485
Name:HINDS, ALISHA MARIE (DO)
Entity Type:Individual
Prefix:
First Name:ALISHA
Middle Name:MARIE
Last Name:HINDS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2401 S 31ST ST
Mailing Address - Street 2:M/S 09- CW306
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76508-0001
Mailing Address - Country:US
Mailing Address - Phone:254-724-5817
Mailing Address - Fax:254-724-7210
Practice Address - Street 1:1241 W STADIUM BLVD
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65109
Practice Address - Country:US
Practice Address - Phone:573-635-5264
Practice Address - Fax:573-556-1719
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2018-07-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2012018758207R00000X
MO2018014408207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine