Healthcare Provider Details

I. General information

NPI: 1174621403
Provider Name (Legal Business Name): JACOBO Q HOHENSTEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 03/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E DOVE AVE STE L
MCALLEN TX
78504-2263
US

IV. Provider business mailing address

800 E DOVE AVE STE L
MCALLEN TX
78504-2263
US

V. Phone/Fax

Practice location:
  • Phone: 956-687-3232
  • Fax: 956-687-1739
Mailing address:
  • Phone: 956-687-3232
  • Fax: 956-687-1739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberG4305
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: