Provider Demographics
NPI:1215517032
Name:HINOJOSA, KARLA ALEXANDRA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:ALEXANDRA
Last Name:HINOJOSA
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15839 AUGUSTA COR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-5665
Mailing Address - Country:US
Mailing Address - Phone:956-775-6607
Mailing Address - Fax:
Practice Address - Street 1:15333 SAN PEDRO AVE
Practice Address - Street 2:
Practice Address - City:HILL COUNTRY VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:78232-3719
Practice Address - Country:US
Practice Address - Phone:210-979-0244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14105321235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX14105321OtherASHA MEMBER #