Estrada, Jaime

Estrada, Jaime is an individual health care provider with primary practice located at 4410 Medical Dr Ste 540, San Antonio TX 78229-3755. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is his primary health care specialty. Estrada, Jaime can be contacted via phone (210) 575-6240.

Contact Information

Primary practice address
4410 Medical Dr Ste 540 San Antonio TX 78229-3755
Phone: (210) 575-6240
Fax: (210) 575-6280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X G2361 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G2361 Texas
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X G2361 Texas

Profile Details

NPI number 1396792065
LBN Legal business name Estrada, Jaime
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Apr 4th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396792065 NPPES
Texas MEDICAID 133046612
Texas Other 133046613
Texas Other 8BX389

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