MEDICARE: DR. JACOBO Q HOHENSTEIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	G4305	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174621403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACOBO Q HOHENSTEIN M.D.

Provider Business Mailing Address
First Line	:	800 E DOVE AVE STE L
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-2263
Country	:	US
Telephone Number	:	956-687-3232
Fax Number	:	956-687-1739

Provider Business Practice Location Address
First Line	:	800 E DOVE AVE STE L
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-2263
Country	:	US
Telephone Number	:	956-687-3232
Fax Number	:	956-687-1739

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	03/03/2011

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