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Individual

JUAN M JIMENEZ-OLIVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8160 WALNUT HILL LN, SUITE 216, DALLAS, TX 75231-4339
(214) 368-2543
(214) 373-8946
Mailing address
8160 WALNUT HILL LN, SUITE 216, DALLAS, TX 75231-4339
(214) 368-2543
(214) 373-8946

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
D9513
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8A7830
BLUE CROSS, BLUE SHIELD
TX
Enumeration date
07/28/2006
Last updated
07/08/2007
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