Healthcare Provider Details

I. General information

NPI: 1063327062
Provider Name (Legal Business Name): DR. RYAN HINOJOSA, PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 I ST NW STE 400E
WASHINGTON DC
20005-3318
US

IV. Provider business mailing address

1300 I ST NW STE 400E
WASHINGTON DC
20005-3318
US

V. Phone/Fax

Practice location:
  • Phone: 202-505-1452
  • Fax:
Mailing address:
  • Phone: 202-505-1452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. RYAN HINOJOSA
Title or Position: PSYCHOLOGIST
Credential: PH.D.
Phone: 214-562-5350