MEDICARE: OLIVIA A HINOJOSA LMFT ASSOCIATE

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	106H00000X	Marriage & Family Therapist	204698	TX

General Provider Information

NPI Number	:	1669180105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA A HINOJOSA LMFT ASSOCIATE

Provider Business Mailing Address
First Line	:	13423 BLANCO RD # 909
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-2187
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20303 STONE OAK PKWY APT 4204
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-0005
Country	:	US
Telephone Number	:	210-239-2054
Fax Number	:

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

Provider Enumeration Date	:	11/14/2022
Last Update Date	:	11/14/2022

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