Miles A Hutson, M.D.
Individual provider Active NPI Family Medicine Physician · Hondo, TX
NPI 1699700104 · NPPES record last updated Aug 23, 2022
Key facts
- NPI
- 1699700104
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- E9708 (TX)
- Practice address
- 3200 Avenue E
Hondo, TX 78861 - Phone
- (830) 741-4331
- Fax
- (830) 741-6270
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E9708 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart & Vascular Institute of Texas | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E9708 | TX | Yes |
Addresses
Primary practice location
3200 Avenue E
Hondo, TX 78861
Mailing address
PO Box 858
Hondo, TX 78861-0858
Phone (830) 741-4331
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0047EP | Other | TX | BCBS ID |
| 130927002 | Medicaid | TX | |
| 130927003 | Medicaid | TX | |
| 8J0360 | Other | TX | BCBS |
Other providers in Hondo, TX
- Hondo Hosptial Authority
- Hondo Independent School District
- Hondo Nursing and Rehabilitation, LP
- Robert James Hornbeck
- Linda Sue Hulett
- Stephanie Jackson
- Victoria A Jernigan
- John R. Windrow, D.D.S.,M.S.,Inc.
- John W. Meyer M D PA
- Tammy Gail Kothe-Ramsey
All providers in Hondo, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.