Provider Demographics
NPI:1245518612
Name:HINOJOSA, DAISY (LBSW)
Entity type:Individual
Prefix:MRS
First Name:DAISY
Middle Name:
Last Name:HINOJOSA
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 PECAN BLVD STE 6
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-2453
Mailing Address - Country:US
Mailing Address - Phone:956-661-1704
Mailing Address - Fax:188-831-7884
Practice Address - Street 1:804 PECAN BLVD STE 6
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2453
Practice Address - Country:US
Practice Address - Phone:956-661-1704
Practice Address - Fax:188-831-7884
Is Sole Proprietor?:No
Enumeration Date:2011-08-02
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX52455171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator