Individual
TERESA JANE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3508 FAR WEST BLVD STE 130, AUSTIN, TX 78731-3081
(512) 828-3990
Mailing address
1017 LOCH LINNHE CV, PFLUGERVILLE, TX 78660-1755
(512) 608-1383
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
637061
TX
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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