Provider Demographics
NPI:1679637128
Name:HINZ, TAMI
Entity Type:Individual
Prefix:DR
First Name:TAMI
Middle Name:
Last Name:HINZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14401 CHEF MENTEUR HWY
Mailing Address - Street 2:STE C
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70129-2014
Mailing Address - Country:US
Mailing Address - Phone:504-662-0644
Mailing Address - Fax:504-662-0648
Practice Address - Street 1:14401 CHEF MENTEUR HWY
Practice Address - Street 2:STE C
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70129-2014
Practice Address - Country:US
Practice Address - Phone:504-662-0644
Practice Address - Fax:504-662-0648
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA24241208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics