Jimenez, Edgar J

Jimenez, Edgar J is an individual health care provider with primary practice located at 2401 S 31St St , Temple TX 76508-1133. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Jimenez, Edgar J can be contacted via phone (254) 724-2111.

Contact Information

Primary practice address
2401 S 31St St Temple TX 76508-1133
Phone: (254) 724-2111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME91275 Florida
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X ME91275 Florida

Profile Details

NPI number 1912981952
LBN Legal business name Jimenez, Edgar J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Sep 17th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912981952 NPPES
Florida MEDICAID 271469800

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