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Jose Carlos Jimenez, LSA

Specialist/Technologist, Other, Surgical Assistant in Sugar Land, TX. Individual provider (NPI-1).

NPI number1346701596
StatusActive
Last updated in NPPESJun 16, 2023

Details

NPI
1346701596
Entity type
Individual (NPI-1)
Name
Jose Carlos Jimenez
Credential
LSA
Sex
Male
Sole proprietor
No
Enumeration date
Mar 29, 2019
Certification date
Jun 16, 2023
Last updated
Jun 16, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZC0007X Specialist/Technologist, Other, Surgical AssistantSA00704TXYes

Practice location

1 Sugar Creek Center Blvd Ste 618
Sugar Land, TX 77478-3540

Phone 832-655-4141 · Fax 713-457-5188

Mailing address

1 Sugar Creek Center Blvd Ste 618
Sugar Land, TX 77478-3540

Phone 832-655-4141 · Fax 713-457-5188

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