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NPI Code Detail

MEDICARE: STEVE HINOJOSA OTA

MEDICARE: STEVE HINOJOSA OTA
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
1224Z00000XOccupational Therapy Assistant210706TX

General Provider Information

NPI Number : 1740760800
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVE HINOJOSA OTA
Provider Business Mailing Address
First Line : 1910 CANCUN DR
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-8532
Country : US
Telephone Number : 432-638-3196
Fax Number :
Provider Business Practice Location Address
First Line : 4201 STONEGATE BLVD
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-9503
Country : US
Telephone Number : 817-924-5440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2018
Last Update Date : 08/17/2018

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Directions to “ STEVE HINOJOSA OTA” Practice Location

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