Healthcare Provider Details

I. General information

NPI: 1083525075
Provider Name (Legal Business Name): YVONNE HINOJOSA OLIVER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14241 NORTHWEST BLVD STE 101
CORPUS CHRISTI TX
78410-5545
US

IV. Provider business mailing address

14241 NORTHWEST BLVD STE 101
CORPUS CHRISTI TX
78410-5545
US

V. Phone/Fax

Practice location:
  • Phone: 361-933-0600
  • Fax: 361-933-0654
Mailing address:
  • Phone: 361-933-0600
  • Fax: 361-933-0654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number2042901
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: