Healthcare Provider Details

I. General information

NPI: 1235838822
Provider Name (Legal Business Name): DALIA NATHLLELY HINOJOSA MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2023
Last Update Date: 03/02/2023
Certification Date: 03/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3624 N HILLS DR STE A201
AUSTIN TX
78731-3085
US

IV. Provider business mailing address

4701 MONTEREY OAKS BLVD APT 418
AUSTIN TX
78749-1085
US

V. Phone/Fax

Practice location:
  • Phone: 512-648-4313
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number86822
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: