Provider Demographics
NPI:1982044913
Name:HINOJOSA, MONICA D (FNP)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:D
Last Name:HINOJOSA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 JIMMY JOHNSON BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642-6306
Mailing Address - Country:US
Mailing Address - Phone:409-982-0082
Mailing Address - Fax:
Practice Address - Street 1:3300 JIMMY JOHNSON BLVD STE 100
Practice Address - Street 2:
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-6306
Practice Address - Country:US
Practice Address - Phone:409-982-0082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-05
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141514363L00000X, 363L00000X
MSR882618363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS08682529Medicaid
LA2409441Medicaid
TX405520401Medicaid