Individual
JOSE CARLOS JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
1 SUGAR CREEK CENTER BLVD STE 618, SUGAR LAND, TX 77478-3540
(832) 655-4141
(713) 457-5188
Mailing address
1 SUGAR CREEK CENTER BLVD STE 618, SUGAR LAND, TX 77478-3540
(832) 655-4141
(713) 457-5188
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00704
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8NN841
BCBS - XCITE SURGICAL
TX
01
—
8NP824
BCBS - BLUE STAR SURGICAL
TX
01
—
8NP825
BCBS - UNIVERSAL SURGICAL ASSISTANTS
TX
01
—
8NP826
BCBS - UNIVERSAL SURGICAL PARTNERS
TX
01
—
8XP794
BCBS - US MSO
TX
01
—
SA00704
TEXAS MEDICAL BOARD
TX
Enumeration date
03/29/2019
Last updated
06/16/2023
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