Individual
DR. JOSE FARIAS-JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
416 LINDBERG AVE STE A, MCALLEN, TX 78501-2922
(956) 630-4161
(956) 664-1398
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
(956) 630-4161
(956) 664-1398
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
L9192
TX
208600000X
Surgery Physician
Primary
L9192
TX
2086S0127X
Trauma Surgery Physician
L9192
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1661464-04
—
TX
05
—
166146403
—
TX
05
—
183631401
—
TX
01
—
8AL310
BCBS
TX
01
—
P00707052
RAILROAD MEDICARE
TX
Enumeration date
06/20/2006
Last updated
07/21/2022
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