Individual
MR. CHARLES JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7006 GENESIS COVE CT, SPRING, TX 77379-1431
(832) 506-9222
Mailing address
7006 GENESIS COVE CT, SPRING, TX 77379-1431
(832) 506-9222
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
10441788
TX
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
11/03/2022
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