Samuel Segundo Jimenez, SA-C
Specialist/Technologist, Other, Surgical Assistant in Katy, TX. Individual provider (NPI-1).
NPI number1124472915
StatusActive
Last updated in NPPESApr 18, 2016
Details
- NPI
- 1124472915
- Entity type
- Individual (NPI-1)
- Name
- Samuel Segundo Jimenez
- Credential
- SA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 18, 2016
- Last updated
- Apr 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | 16-180 | WI | Yes |
Practice location
3903 S Mason RdApt #111
Katy, TX 77450-7708
Phone 786-660-6908
Mailing address
3909 S Mason RApt #111
Katy, TX 77450
Phone 786-660-6908
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