Jimenez, Jesus Raul
Jimenez, Jesus Raul is an sole proprietor health care provider with primary practice located at 2311 N Mesa Build I 2311 N Mesa Build I, El Paso TX 79902-3575. He recently has only one registered license in Group / Groups of Doctors / Single Specialty, which is considered as his primary health care specialty. Jimenez, Jesus Raul can be contacted via phone (915) 544-0600.Contact Information
Primary practice address
2311 N Mesa Build I 2311 N Mesa Build I
El Paso TX 79902-3575
Phone: (915) 544-0600
Fax: (915) 544-5374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Group / Groups of Doctors / Single Specialty | 193400000X | H1112 | Texas |
Profile Details
| NPI number | 1992757355 |
|---|---|
| LBN Legal business name | Jimenez, Jesus Raul |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2006 |
| Last updated | Feb 1st, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992757355 | NPPES |
| Texas | MEDICAID | 83134901 |
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