Individual
DR. CARLOS JAVIER JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 UNIVERSITY BLVD, UNIVERSITY OF TEXAS MEDICAL BRANCH, GALVESTON, TX 77555-1220
(409) 772-9066
(409) 747-7319
Mailing address
815 MARKET ST, SHRINERS HOSPITALS FOR CHILDREN - GALVESTON, GALVESTON, TX 77550-2725
(409) 770-6731
(409) 770-6919
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
N0135
TX
2086S0102X
Surgical Critical Care Physician
TEMP
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193225301
—
TX
01
—
3881617185
MYUTMB 3881617185-COMMERCIAL NUMBER
—
Enumeration date
06/14/2007
Last updated
12/19/2016
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