Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | J4208 | TX |
N | 207RP1001X | Pulmonary Disease | J4208 | TX |
NPI | 1013933019 |
---|---|
Provider Name | John David Hinze |
First Address | Austin, TX 78705-1016 |
Second Address | Austin, TX 78705-1016 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 14/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101901003 | (05) | TX |
G68831 | (02) | TX |