Provider Demographics
NPI:1609245877
Name:MARK A HINTON, MD PLLC
Entity Type:Organization
Organization Name:MARK A HINTON, MD PLLC
Other - Org Name:CHILD AND FAMILY BEHAVIOR OPTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:HINTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:228-257-1978
Mailing Address - Street 1:10407 WILLOW BARK
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-8518
Mailing Address - Country:US
Mailing Address - Phone:228-257-1978
Mailing Address - Fax:888-959-9864
Practice Address - Street 1:8550 HUEBNER RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1803
Practice Address - Country:US
Practice Address - Phone:210-541-5300
Practice Address - Fax:210-541-5310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-17
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1216103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)Group - Single Specialty