Provider Demographics
NPI:1043444169
Name:HINOSTROZA, MELISSA LYNN (PA)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:LYNN
Last Name:HINOSTROZA
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:301 S SAN PATRICIO ST
Mailing Address - Street 2:
Mailing Address - City:SINTON
Mailing Address - State:TX
Mailing Address - Zip Code:78387-2432
Mailing Address - Country:US
Mailing Address - Phone:361-364-3355
Mailing Address - Fax:361-851-5193
Practice Address - Street 1:3845 S PADRE ISLAND DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78415-2919
Practice Address - Country:US
Practice Address - Phone:361-854-4626
Practice Address - Fax:361-851-5193
Is Sole Proprietor?:No
Enumeration Date:2009-05-04
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA05107363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant