Provider Demographics
NPI:1649824269
Name:HINSON, ALVIN EUGENE (RPH)
Entity type:Individual
Prefix:
First Name:ALVIN
Middle Name:EUGENE
Last Name:HINSON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1816 COUNTY ROAD 1030
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:TX
Mailing Address - Zip Code:75455-6456
Mailing Address - Country:US
Mailing Address - Phone:903-573-0013
Mailing Address - Fax:
Practice Address - Street 1:609 LINDA DR
Practice Address - Street 2:
Practice Address - City:DAINGERFIELD
Practice Address - State:TX
Practice Address - Zip Code:75638-2115
Practice Address - Country:US
Practice Address - Phone:903-645-4552
Practice Address - Fax:903-645-4392
Is Sole Proprietor?:No
Enumeration Date:2019-07-31
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23992183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist