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NPI Code Detail

MEDICARE: JOSE L HINOJOSA M.D.

MEDICARE:   JOSE L HINOJOSA  M.D.
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
1207Q00000XFamily Medicine Physician04-36883KS
2207Q00000XFamily Medicine Physician29630OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100F74WOTHERTXBLUE CROSS BLUE SHIELD
2MDH0405OTHERTXWORKER'S COMP
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548358013
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE L HINOJOSA M.D.
Provider Business Mailing Address
First Line : 510 W RADIO LN
Second Line :
City : ARKANSAS CITY
State : KS
Zip : 67005-4011
Country : US
Telephone Number : 620-442-2100
Fax Number : 620-442-6041
Provider Business Practice Location Address
First Line : 510 W RADIO LN
Second Line :
City : ARKANSAS CITY
State : KS
Zip : 67005-4011
Country : US
Telephone Number : 620-442-2100
Fax Number : 620-442-6041
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2006
Last Update Date : 06/02/2020

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Directions to “ JOSE L HINOJOSA M.D.” Practice Location

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