Provider Demographics
NPI:1407003056
Name:HINOJOSA, SANDRA (SLP)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:
Last Name:HINOJOSA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 N MCCOLL RD STE A
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-5696
Mailing Address - Country:US
Mailing Address - Phone:956-661-0475
Mailing Address - Fax:956-630-9941
Practice Address - Street 1:3300 N MCCOLL RD STE A
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-5696
Practice Address - Country:US
Practice Address - Phone:956-661-0475
Practice Address - Fax:956-630-9941
Is Sole Proprietor?:No
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12748235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist