MEDICARE: KRISTINA HINOJOSA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2355S0801X	Speech-Language Assistant	35929	TX

General Provider Information

NPI Number	:	1376023598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTINA HINOJOSA

Provider Business Mailing Address
First Line	:	102 PALO ALTO RD STE 140
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78211-3773
Country	:	US
Telephone Number	:	210-922-1785
Fax Number	:	210-922-1782

Provider Business Practice Location Address
First Line	:	102 PALO ALTO RD STE 140
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78211-3773
Country	:	US
Telephone Number	:	210-922-1785
Fax Number	:	210-922-1782

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2018
Last Update Date	:	08/16/2018

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Directions to “ KRISTINA HINOJOSA ” Practice Location

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