Provider Demographics
NPI:1932972601
Name:HINTON, ALEXIA MONIQUE
Entity Type:Individual
Prefix:
First Name:ALEXIA
Middle Name:MONIQUE
Last Name:HINTON
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 1:7900 VISCOUNT BLVD APT 189
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-5729
Mailing Address - Country:US
Mailing Address - Phone:915-244-6747
Mailing Address - Fax:
Practice Address - Street 1:7900 VISCOUNT BLVD APT 189
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-5729
Practice Address - Country:US
Practice Address - Phone:915-244-6747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-03
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX215673224Z00000X
NMOT-2023-0256224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant