Organization
EL PASO CHIROPRACTIC GROUP
Active
Parent organization
INJURY MEDICAL CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INJURY MEDICAL CLINIC
Authorized official
DR. ALEXANDER D JIMENEZ DC (MEDICAL DIRECTOR)
(915) 775-2400
Entity
Organization
Contact information
Practice address
1700 N ZARAGOZA RD, STE 116-117, EL PASO, TX 79936-7963
(915) 850-0900
Mailing address
1700 N ZARAGOZA RD, STE 116-117, EL PASO, TX 79936-7963
(915) 850-0900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5807
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10736690
CAQH
—
01
—
4270807
AETNA
—
01
—
8AM290
BCBS TEXAS
TX
01
—
8C0040
BCBS
—
Enumeration date
03/19/2008
Last updated
05/29/2008
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