Provider Demographics
NPI:1205880705
Name:MEWHINNEY, HUGH STEPHENS (MD)
Entity type:Individual
Prefix:
First Name:HUGH
Middle Name:STEPHENS
Last Name:MEWHINNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2529 SOUTH 1ST STREET
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-5466
Mailing Address - Country:US
Mailing Address - Phone:512-972-4722
Mailing Address - Fax:512-972-4747
Practice Address - Street 1:2529 SOUTH 1ST STREET
Practice Address - Street 2:SOUTH AUSTIN COMMUNITY HEALTH CENTER
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-5466
Practice Address - Country:US
Practice Address - Phone:512-972-4722
Practice Address - Fax:512-972-4747
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG6746208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX82A870Medicare PIN
B24881Medicare UPIN