Provider Demographics
NPI:1710161013
Name:SYLVIA HINOJOSA
Entity Type:Organization
Organization Name:SYLVIA HINOJOSA
Other - Org Name:THE BUTTERFLY BTQ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HINOJOSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-631-8636
Mailing Address - Street 1:1614 W MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-4468
Mailing Address - Country:US
Mailing Address - Phone:956-631-8636
Mailing Address - Fax:956-668-8636
Practice Address - Street 1:1614 W MAPLE AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-4468
Practice Address - Country:US
Practice Address - Phone:956-631-8636
Practice Address - Fax:956-668-8636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-21
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX010889601Medicaid
TX010889601Medicaid