Individual
STEVEN R JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11411 DODSON TRL, SAN ANTONIO, TX 78245-4622
(210) 955-4949
Mailing address
11411 DODSON TRL, SAN ANTONIO, TX 78245-4622
(210) 955-4949
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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