Organization
JOSE LUCIANO FARIAS-JIMENEZ, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE LUCIANO FARIAS-JIMENEZ M.D. (OWNER)
(956) 808-2211
Entity
Organization
Contact information
Practice address
416 LINDBERG AVE, MCALLEN, TX 78501-2922
(956) 630-4161
(956) 664-1398
Mailing address
808 S SHARY RD STE 5NO204, MISSION, TX 78572-8568
(956) 630-4161
(956) 435-0138
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L9192
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011QC
BCBS
TX
05
—
198620601
—
TX
01
—
DO7916
RAILROAD MEDICARE
TX
Enumeration date
10/03/2007
Last updated
10/01/2024
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