| Dr Mark Allan Hinton, MD | |
|
2200 Bergquist Dr, Ste 1, Lackland A F B, TX 78236-9907 | |
| (228) 257-1978 | |
| (210) 292-2520 |
| Full Name | Dr Mark Allan Hinton |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 2200 Bergquist Dr, Lackland A F B, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396717781 | NPI | - | NPPES |
| 1396717781 | Medicaid | TX | |
| 1396717781 | Other | TX | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | K1216 (Texas) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | K1216 (Texas) | Primary |
| Entity Name | University Of Texas Southwestern Medical Center At Dallas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942270566 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
| Entity Name | Hill Country Community Mhmr Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841304201 PECOS PAC ID: 3072599752 Enrollment ID: O20040624001114 |
| Entity Name | Heart Of Texas Region Mhmr Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639399132 PECOS PAC ID: 9830105105 Enrollment ID: O20060223000214 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Allan Hinton, MD 2200 Bergquist Dr, Ste 1, Lackland A F B, TX 78236-9907 Ph: (228) 257-1978 | Dr Mark Allan Hinton, MD 2200 Bergquist Dr, Ste 1, Lackland A F B, TX 78236-9907 Ph: (228) 257-1978 |
Dr. Jeffrey S Fait, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr Ste 1, Attn Credentials (cmc), Lackland A F B, TX 78236 Phone: 210-292-7395 | |
Dr. Henry Brainerd Nelson Iii, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Attn: Credentials (cmc), Lackland A F B, TX 78236 Phone: 210-292-7361 Fax: 210-292-2520 | |
Patrick Grogan, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2200 Bergquist Dr Ste 1, Lackland A F B, TX 78236 Phone: 210-292-4106 Fax: 210-292-6953 |