Provider Demographics
NPI:1275789679
Name:JOSE LUIS HINOJOSA MD
Entity Type:Organization
Organization Name:JOSE LUIS HINOJOSA MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:HINOJOSA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-618-1919
Mailing Address - Street 1:PO BOX 3550
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78540-3550
Mailing Address - Country:US
Mailing Address - Phone:956-618-1919
Mailing Address - Fax:956-618-4548
Practice Address - Street 1:5420 S JACKSON RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-6672
Practice Address - Country:US
Practice Address - Phone:956-618-1919
Practice Address - Fax:956-618-4548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty