Provider Demographics
NPI:1629267166
Name:HINOJOSA, KARINA HERNANDEZ (PEDIATRIC NURSE PRAC)
Entity Type:Individual
Prefix:MRS
First Name:KARINA
Middle Name:HERNANDEZ
Last Name:HINOJOSA
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Gender:F
Credentials:PEDIATRIC NURSE PRAC
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Mailing Address - Street 1:502 S OLD ORCHARD LN
Mailing Address - Street 2:SUITE 126
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-4374
Mailing Address - Country:US
Mailing Address - Phone:972-436-7962
Mailing Address - Fax:972-420-0085
Practice Address - Street 1:502 S OLD ORCHARD LN
Practice Address - Street 2:SUITE 126
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-4374
Practice Address - Country:US
Practice Address - Phone:972-436-7962
Practice Address - Fax:972-420-0085
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2013-09-19
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Provider Licenses
StateLicense IDTaxonomies
TX687986363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3165805Medicaid