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General NPI Number Information
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NPI Number | 1881246064
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Entity Type | Individual
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Provider Name | DANIEL HINOJOSA
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Gender | Male
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Dates
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Enumeration Date | 07/09/2019
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Last Update Date | 07/09/2019
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Provider Practice Location Address
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Address Line | 900 S BRYAN RD
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City | MISSION
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State | TX
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Zip | 78572-6613
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Country | US
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Telephone | 956-323-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 1615 SHERI LEE DR
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City | MISSION
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State | TX
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Zip | 78572-3102
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Country | US
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Telephone | 956-206-0987
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 2138755
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License Number State | TX
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