Provider Demographics
NPI:1790129120
Name:HINOJOS, CAROLYN (LAC)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:HINOJOS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3305 LONG PRAIRIE RD
Mailing Address - Street 2:STE. 120
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-2702
Mailing Address - Country:US
Mailing Address - Phone:915-345-8114
Mailing Address - Fax:
Practice Address - Street 1:3305 LONG PRAIRIE RD
Practice Address - Street 2:STE. 120
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-2702
Practice Address - Country:US
Practice Address - Phone:915-345-8114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-29
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1083171100000X
TX0000171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist