Active NPI
Randy Hines MD PA
- Family Medicine Physician
- Amarillo, TX
National Provider Identifier
1326166497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K6469
- Legal business name
- RANDY HINES MD PA
- Practice address
- 3501 S Soncy Rd Ste 1002
Amarillo, TX 79119-4932 - Phone
- (806) 677-0500
- Fax
- (806) 677-0860
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas Randall Hines, MD
- Title
- Owner
- Phone
- (806) 677-0500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K6469 | TX | Primary |
Addresses
Primary practice location
3501 S Soncy Rd Ste 1002
Amarillo, TX 79119-4932
Mailing address
3501 S Soncy Rd Ste 1002
Amarillo, TX 79119-4932
Phone (806) 677-0500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00554W | Other | TX | MEDICARE PTAN |
| 164624201 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
25 Medical Dr
Amarillo, TX 79106
Phone (806) 242-9400
3501 S Soncy Rd
Ste 1002
Amarillo, TX 79119
Phone (806) 341-2188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243987200000",
"number": "1326166497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 S SONCY RD STE 1002",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791194932",
"telephone_number": "806-677-0500",
"fax_number": "806-677-0860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 S SONCY RD STE 1002",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791194932",
"telephone_number": "806-677-0500",
"fax_number": "806-677-0860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RANDY HINES MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2009-06-03",
"status": "A",
"authorized_official_last_name": "HINES",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "RANDALL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "806-677-0500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "K6469",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "00554W",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164624201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.