Organization
INJURY MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER DAVID JIMENEZ DC (PRESIDENT/CHIROPRACTOR)
(915) 412-6677
Entity
Organization
Contact information
Practice address
11860 VISTA DEL SOL DR # 128, EL PASO, TX 79936-6128
(915) 413-6677
(866) 574-1351
Mailing address
11860 VISTA DEL SOL DR # 128, EL PASO, TX 79936-6128
(915) 413-6677
(866) 574-1351
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
305R00000X
Preferred Provider Organization
DC5807
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8C0040
BCBS PROVIDER #
TX
Enumeration date
08/05/2007
Last updated
02/17/2022
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