Provider Demographics
NPI:1053606210
Name:HINES, ADAM CHRISTOPHER (MD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:CHRISTOPHER
Last Name:HINES
Suffix:
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 1:963 STATE HIGHWAY 121 STE 1150
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-6034
Mailing Address - Country:US
Mailing Address - Phone:469-322-1400
Mailing Address - Fax:469-322-1401
Practice Address - Street 1:963 STATE HIGHWAY 121 STE 1150
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6034
Practice Address - Country:US
Practice Address - Phone:469-322-1400
Practice Address - Fax:469-322-1401
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS6209207X00000X
SC83727207X00000X
HIMD-16476207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC837278Medicaid