Provider Demographics
NPI:1407441918
Name:CASSIDY W HINOJOSA MD PA
Entity Type:Organization
Organization Name:CASSIDY W HINOJOSA MD PA
Other - Org Name:COASTAL COSMETIC AND PLASTIC SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMPLOYER/MD
Authorized Official - Prefix:DR
Authorized Official - First Name:CASSIDY
Authorized Official - Middle Name:DOUGLAS WRIGHT
Authorized Official - Last Name:HINOJOSA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-402-9819
Mailing Address - Street 1:6074 LOST CREEK DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-3840
Mailing Address - Country:US
Mailing Address - Phone:210-861-9895
Mailing Address - Fax:
Practice Address - Street 1:5920 SARATOGA BLVD STE 310
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-4103
Practice Address - Country:US
Practice Address - Phone:361-402-9819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-05
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty