Jimenez, Alfredo
Jimenez, Alfredo is an individual health care provider with primary practice located at 18100 St. John Drive Suite 240, Houston TX 77058-0451. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Jimenez, Alfredo can be contacted via phone (281) 335-7755.Contact Information
Primary practice address
18100 St. John Drive Suite 240
Houston TX 77058-0451
Phone: (281) 335-7755
Fax: (281) 335-7766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | J4653 | Texas |
Profile Details
| NPI number | 1396740650 |
|---|---|
| LBN Legal business name | Jimenez, Alfredo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Aug 31st, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396740650 | NPPES |
| Texas | Other | 10023864 | AMERIGROUP |
| Texas | Other | 8K6340 | AMERIGROUP |
| Texas | MEDICAID | 045240103 | AMERIGROUP |
| Texas | Other | 0029KV | AMERIGROUP |
| Texas | MEDICAID | 045240104 | AMERIGROUP |
| Texas | Other | 163317401 | AMERIGROUP |
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