Provider Demographics
NPI:1205487220
Name:HINOJOSA, JOE (RN)
Entity type:Individual
Prefix:
First Name:JOE
Middle Name:
Last Name:HINOJOSA
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3225 CHIPPEWA TRL
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76135-3809
Mailing Address - Country:US
Mailing Address - Phone:806-729-2281
Mailing Address - Fax:
Practice Address - Street 1:3225 CHIPPEWA TRL
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:TX
Practice Address - Zip Code:76135-3809
Practice Address - Country:US
Practice Address - Phone:806-729-2281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-20
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX657343163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational HealthGroup - Single Specialty