Individual
ANTONIO ROBERTO JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-4412
(409) 747-3376
Mailing address
PO BOX 650859, DEPT 710, DALLAS, TX 75265-0859
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
V9027
TX
207ND0900X
Dermatopathology Physician
V9027
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2021
Last updated
06/02/2025
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