Provider Demographics
NPI:1528677705
Name:HINOJOSA, CHRISTOPHER E
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:E
Last Name:HINOJOSA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9606 TORRINGTON
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-5026
Mailing Address - Country:US
Mailing Address - Phone:210-753-1080
Mailing Address - Fax:
Practice Address - Street 1:9606 TORRINGTON
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-5026
Practice Address - Country:US
Practice Address - Phone:210-753-1080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX174200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174200000XOther Service ProvidersMeals