Individual
JASON D HINOJOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
111 DALLAS ST, SAN ANTONIO, TX 78205-1201
(210) 495-9860
Mailing address
16414 SAN PEDRO AVE, SUITE 525, SAN ANTONIO, TX 78232-2277
(210) 495-9860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07940
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304079201
—
TX
05
—
304079202 (CSHCN)
—
TX
Enumeration date
08/05/2012
Last updated
10/03/2016
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