Provider Demographics
NPI:1982260824
Name:HINOJOSA, EDUARDO (SA)
Entity Type:Individual
Prefix:
First Name:EDUARDO
Middle Name:
Last Name:HINOJOSA
Suffix:
Gender:M
Credentials:SA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 MADERO DR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78542-7089
Mailing Address - Country:US
Mailing Address - Phone:956-457-2126
Mailing Address - Fax:
Practice Address - Street 1:2402 CORNERSTONE BLVD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-8462
Practice Address - Country:US
Practice Address - Phone:956-668-0060
Practice Address - Fax:956-668-0070
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-16
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00715246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant