Provider Demographics
NPI:1336637370
Name:HINOJOSA, JORGE ALDO (MD)
Entity Type:Individual
Prefix:
First Name:JORGE
Middle Name:ALDO
Last Name:HINOJOSA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JORGE
Other - Middle Name:ALDO
Other - Last Name:HINOJOSA CANTU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5030 TENNYSON PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3397
Mailing Address - Country:US
Mailing Address - Phone:972-985-9003
Mailing Address - Fax:972-985-1176
Practice Address - Street 1:5030 TENNYSON PKWY STE 100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3397
Practice Address - Country:US
Practice Address - Phone:972-985-9003
Practice Address - Fax:972-985-1176
Is Sole Proprietor?:No
Enumeration Date:2018-04-25
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT3910207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology