Provider Demographics
NPI:1770899924
Name:WACO WORKS OCCUPATIONAL MEDICINE, PLLC
Entity type:Organization
Organization Name:WACO WORKS OCCUPATIONAL MEDICINE, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAMILLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HINOJOSA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:254-227-6420
Mailing Address - Street 1:PO BOX 7508
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76714-7508
Mailing Address - Country:US
Mailing Address - Phone:254-227-6420
Mailing Address - Fax:254-572-0835
Practice Address - Street 1:3919 W WACO DR
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-7107
Practice Address - Country:US
Practice Address - Phone:254-227-6420
Practice Address - Fax:254-572-0835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-26
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2647261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI60413Medicare UPIN