Provider Demographics
NPI:1295199818
Name:HINOJOSA, LAURA (OTR)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:HINOJOSA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2504 E GRIFFIN PKWY
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-3348
Mailing Address - Country:US
Mailing Address - Phone:956-519-2700
Mailing Address - Fax:956-519-2704
Practice Address - Street 1:7600 W EXPRESSWAY 83
Practice Address - Street 2:SUITE 4 & 5
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-2063
Practice Address - Country:US
Practice Address - Phone:956-519-2700
Practice Address - Fax:956-519-2704
Is Sole Proprietor?:No
Enumeration Date:2016-04-09
Last Update Date:2016-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117581225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist