Jimenez, Carlos Javier
Jimenez, Carlos Javier is an sole proprietor health care provider with primary practice located at 301 University Blvd University Of Texas Medical Branch, Galveston TX 77555-1220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Jimenez, Carlos Javier can be contacted via phone (409) 772-9066.Contact Information
Primary practice address
301 University Blvd University Of Texas Medical Branch
Galveston TX 77555-1220
Phone: (409) 772-9066
Fax: (409) 747-7319
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | TEMP | Texas |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | N0135 | Texas |
Profile Details
| NPI number | 1386848950 |
|---|---|
| LBN Legal business name | Jimenez, Carlos Javier |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2007 |
| Last updated | Dec 19th, 2016 - about 10 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 | 1386848950 | NPPES |
| Texas | MEDICAID | 193225301 | |
| Texas | Other | 3881617185 |
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