Individual
ELI JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8615 LULLWATER DR, DALLAS, TX 75238-4754
(214) 221-0444
Mailing address
5322 PARKLAND AVE, DALLAS, TX 75235-8221
(214) 229-2347
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2116675
TX
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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