Organization
JIMENEZ PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LEE JIMENEZ M.D. (PRESIDENT)
(361) 688-5594
Entity
Organization
Contact information
Practice address
4634 S CLOSNER BLVD, EDINBURG, TX 78539-7279
(361) 688-5594
(956) 702-2455
Mailing address
4634 S CLOSNER BLVD, EDINBURG, TX 78539-7279
(361) 688-5594
(956) 702-2455
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M8739
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLYING FOR
—
TX
Enumeration date
01/19/2011
Last updated
03/05/2012
Update your record
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