Individual
SHAUNA MARIE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSA
Contact information
Practice address
4001 FOREST BEND RD, DENTON, TX 76208-2089
(469) 476-7342
Mailing address
4001 FOREST BEND RD, DENTON, TX 76208-2089
(469) 476-7342
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
178378
TX
Other
Enumeration date
10/19/2017
Last updated
05/22/2024
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