Provider Demographics
NPI:1508631276
Name:HINOJOSA, MARTIN I (MSN, APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:MARTIN
Middle Name:I
Last Name:HINOJOSA
Suffix:
Gender:M
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 S SALINAS BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:DONNA
Mailing Address - State:TX
Mailing Address - Zip Code:78537-6081
Mailing Address - Country:US
Mailing Address - Phone:956-377-5710
Mailing Address - Fax:
Practice Address - Street 1:104 N SALINAS BLVD STE A
Practice Address - Street 2:
Practice Address - City:DONNA
Practice Address - State:TX
Practice Address - Zip Code:78537-2926
Practice Address - Country:US
Practice Address - Phone:956-377-5710
Practice Address - Fax:956-377-5713
Is Sole Proprietor?:No
Enumeration Date:2023-11-22
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1142307363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health