Provider Demographics
NPI:1851399240
Name:HINOJOSA, INGRID CORA (NP)
Entity Type:Individual
Prefix:MS
First Name:INGRID
Middle Name:CORA
Last Name:HINOJOSA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6080 S HULEN ST
Mailing Address - Street 2:STE. 360
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-2622
Mailing Address - Country:US
Mailing Address - Phone:817-717-7294
Mailing Address - Fax:817-713-9388
Practice Address - Street 1:6080 S HULEN ST
Practice Address - Street 2:STE. 360
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-2622
Practice Address - Country:US
Practice Address - Phone:817-717-7294
Practice Address - Fax:817-717-9388
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-11
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX589114363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1435935-14Medicaid
TX8F23905OtherMEDICARE (PTAN)
TX8F23905OtherMEDICARE (PTAN)