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Individual

JOSE L HINOJOSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
510 W RADIO LN, ARKANSAS CITY, KS 67005-4011
(620) 442-2100
(620) 442-6041
Mailing address
510 W RADIO LN, ARKANSAS CITY, KS 67005-4011
(620) 442-2100
(620) 442-6041

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-36883
KS
207Q00000X
Family Medicine Physician
29630
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00F74W
BLUE CROSS BLUE SHIELD
TX
05
135140504
TX
01
MDH0405
WORKER'S COMP
TX
Enumeration date
10/10/2006
Last updated
06/02/2020
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