MEDICARE: DR. VIDAL ISAAC HINOJOSA AU.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	231H00000X	Audiologist	80717	TX

General Provider Information

NPI Number	:	1982016184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIDAL ISAAC HINOJOSA AU.D.

Provider Business Mailing Address
First Line	:	1635 NE LOOP 410
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-1625
Country	:	US
Telephone Number	:	210-826-2319
Fax Number	:	210-826-2921

Provider Business Practice Location Address
First Line	:	116 LEWIS ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-5521
Country	:	US
Telephone Number	:	956-844-5841
Fax Number	:	210-320-0274

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

Provider Enumeration Date	:	05/22/2014
Last Update Date	:	06/23/2025

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