Individual
MRS. ALEXIS JIMENEZ-DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, MSN
Contact information
Practice address
5364 FREDERICKSBURG RD, BLDG D STE 100, SAN ANTONIO, TX 78229-6188
(210) 447-4333
(210) 447-4330
Mailing address
PO BOX 2208, SAN ANTONIO, TX 78298-2208
(210) 546-1400
(210) 546-1449
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
746303
TX
363LF0000X
Family Nurse Practitioner
Primary
AP121448
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3048597-01
—
TX
01
—
TXB157327
MEDICARE PTAN
TX
Enumeration date
02/01/2012
Last updated
06/02/2020
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