Provider Demographics
NPI:1598977985
Name:HINZ, MICHAEL JUDE
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:JUDE
Last Name:HINZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:MICHAEL
Other - Middle Name:
Other - Last Name:MATTHEWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2236 DRAKE ST
Mailing Address - Street 2:
Mailing Address - City:ALEDO
Mailing Address - State:TX
Mailing Address - Zip Code:76008-2015
Mailing Address - Country:US
Mailing Address - Phone:817-966-3570
Mailing Address - Fax:
Practice Address - Street 1:2236 DRAKE ST
Practice Address - Street 2:
Practice Address - City:ALEDO
Practice Address - State:TX
Practice Address - Zip Code:76008-2015
Practice Address - Country:US
Practice Address - Phone:817-966-3570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-05
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX212496224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant