Roldan Jimenez, Carlos J
Roldan Jimenez, Carlos J is an individual health care provider with primary practice located at 1515 Holcombe Blvd , Houston TX 77030-4009. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Roldan Jimenez, Carlos J can be contacted via phone (713) 792-6161.Contact Information
Primary practice address
1515 Holcombe Blvd
Houston TX 77030-4009
Phone: (713) 792-6161
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | L5112 | Texas |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | L5112 | Texas |
Profile Details
| NPI number | 1588694269 |
|---|---|
| LBN Legal business name | Roldan Jimenez, Carlos J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Apr 11th, 2023 - about 2 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 | 1588694269 | NPPES |
| Texas | MEDICAID | 171706802 (MDACC) | |
| Texas | Other | 8DB293 | |
| Texas | Other | 8G9220 | |
| Texas | MEDICAID | 148421402 |
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