Individual
ISAAC HERNANDEZ JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1333 MOURSUND ST, HOUSTON, TX 77030-3405
(713) 799-6956
Mailing address
1133 JOHN FREEMAN BLVD # 285-C, HOUSTON, TX 77030-2809
(713) 799-6956
(713) 500-0590
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
R0019
TX
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
R0019
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365593801
—
TX
01
—
542585YKY3
MEDICARE INDIVIDUAL ID
TX
Enumeration date
04/20/2010
Last updated
12/04/2025
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