Jimenez, Jason Phillip

Jimenez, Jason Phillip is an individual health care provider with primary practice located at 540 Madison Oak Dr Ste 610, San Antonio TX 78258-3924. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Jimenez, Jason Phillip can be contacted via phone (210) 352-5346.

Contact Information

Primary practice address
540 Madison Oak Dr Ste 610 San Antonio TX 78258-3924
Phone: (210) 352-5346
Fax: (210) 352-5367
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X SA00556 Texas

Profile Details

NPI number 1407982523
LBN Legal business name Jimenez, Jason Phillip
Credentials LSA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2007
Last updated Dec 9th, 2022 - about 3 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 1407982523 NPPES
Texas Other SA00556 LSA LICENSE
Texas Other 12678940 LSA LICENSE
Texas Other 85NN35 LSA LICENSE

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