MEDICARE: MR. MANUEL HINOJOSA JR.

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	332B00000X	Durable Medical Equipment & Medical Supplies		TX

General Provider Information

NPI Number	:	1346302627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MANUEL HINOJOSA JR.

Provider Business Mailing Address
First Line	:	2310 N EXPRESSWAY
Second Line	:	SUITE B2
City	:	BROWNSVILLE
State	:	TX
Zip	:	78521-0903
Country	:	US
Telephone Number	:	956-544-8181
Fax Number	:

Provider Business Practice Location Address
First Line	:	2310 N EXPRESSWAY
Second Line	:	SUITE B2
City	:	BROWNSVILLE
State	:	TX
Zip	:	78521-0903
Country	:	US
Telephone Number	:	956-544-8181
Fax Number	:

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

Provider Enumeration Date	:	12/14/2006
Last Update Date	:	07/08/2007

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