Provider Demographics
NPI:1639129273
Name:HINOJOSA, CAROL RENEE (OTR)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:RENEE
Last Name:HINOJOSA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MISS
Other - First Name:CAROL
Other - Middle Name:RENEE
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1110 REGENCY LANE
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703
Mailing Address - Country:US
Mailing Address - Phone:903-939-0887
Mailing Address - Fax:
Practice Address - Street 1:3414 GOLDEN RD
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701
Practice Address - Country:US
Practice Address - Phone:903-597-0837
Practice Address - Fax:903-531-0192
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108515225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist