Provider Demographics
NPI:1669407425
Name:HINTON, JAMES H III (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:H
Last Name:HINTON
Suffix:III
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 1:2100 HEDGCOXE RD STE 120
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-3163
Mailing Address - Country:US
Mailing Address - Phone:972-769-8443
Mailing Address - Fax:972-769-2395
Practice Address - Street 1:2100 HEDGCOXE RD STE 120
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-3163
Practice Address - Country:US
Practice Address - Phone:972-769-8443
Practice Address - Fax:972-769-2395
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ7004207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX152225204Medicaid
TX152225201Medicaid
TX152225202Medicaid
TX152225201Medicaid
TXTXB122126Medicare PIN
TXF52365Medicare UPIN
TX152225202Medicaid