Jimenez, Alfredo

Jimenez, Alfredo is an individual health care provider with primary practice located at 18100 St. John Drive Suite 240, Houston TX 77058-0451. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Jimenez, Alfredo can be contacted via phone (281) 335-7755.

Contact Information

Primary practice address
18100 St. John Drive Suite 240 Houston TX 77058-0451
Phone: (281) 335-7755
Fax: (281) 335-7766
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X J4653 Texas

Profile Details

NPI number 1396740650
LBN Legal business name Jimenez, Alfredo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Aug 31st, 2017 - about 9 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 1396740650 NPPES
Texas Other 10023864 AMERIGROUP
Texas Other 8K6340 AMERIGROUP
Texas MEDICAID 045240103 AMERIGROUP
Texas Other 0029KV AMERIGROUP
Texas MEDICAID 045240104 AMERIGROUP
Texas Other 163317401 AMERIGROUP

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