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Individual

MADELINE JIMENEZ-TORRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M. D.

Contact information

Practice address
1133 MEDICAL DR, TYLER, TX 75701
(903) 595-5486
(903) 595-5128
Mailing address
1133 MEDICAL DR, TYLER, TX 75701-2130
(903) 595-5486
(903) 595-5128

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
R4245
TX
208D00000X
General Practice Physician
12863
PR
208M00000X
Hospitalist Physician
208030
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3870297-01
TX
Enumeration date
07/26/2011
Last updated
04/20/2023
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