Tobias Jimenez, LMT
Technician, Other in Desoto, TX. Individual provider (NPI-1).
NPI number1689078735
StatusActive
Last updated in NPPESOct 17, 2014
Details
- NPI
- 1689078735
- Entity type
- Individual (NPI-1)
- Name
- Tobias Jimenez
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 17, 2014
- Last updated
- Oct 17, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
1130 Castlewood CtDesoto, TX 75115-4223
Phone 214-906-6565
Mailing address
1130 Castlewood CtDesoto, TX 75115-4223
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