Provider Demographics
NPI:1174621403
Name:HOHENSTEIN, JACOBO Q (MD)
Entity type:Individual
Prefix:DR
First Name:JACOBO
Middle Name:Q
Last Name:HOHENSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 E DOVE AVE STE L
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2263
Mailing Address - Country:US
Mailing Address - Phone:956-687-3232
Mailing Address - Fax:956-687-1739
Practice Address - Street 1:800 E DOVE AVE STE L
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2263
Practice Address - Country:US
Practice Address - Phone:956-687-3232
Practice Address - Fax:956-687-1739
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG4305174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX032577101Medicaid