MEDICARE: INGRID HINOJOSA, PC

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	363LF0000X	Family Nurse Practitioner	589114	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	OA5903	OTHER	TX	MEDICARE (PTAN)

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	:	1245457522
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INGRID HINOJOSA, PC

Provider Business Mailing Address
First Line	:	6080 S HULEN ST
Second Line	:	SUITE 360
City	:	FORT WORTH
State	:	TX
Zip	:	76132-2622
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6080 S HULEN ST
Second Line	:	SUITE 360
City	:	FORT WORTH
State	:	TX
Zip	:	76132-2622
Country	:	US
Telephone Number	:	817-908-1218
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	INGRID HINOJOSA
Credential	:	FNP
Telephone Number	:	817-908-1218

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	09/11/2012

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Directions to “INGRID HINOJOSA, PC ” Practice Location

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