SAMUEL SEGUNDO JIMENEZ SA-C NPI 1124472915

NPI Information

  • NPI: 1124472915
  • Provider Name: SAMUEL SEGUNDO JIMENEZ, SA-C
  • Classification: Specialist/Technologist, Other - 246ZC0007X
  • Specialization: Surgical Assistant
  • Entity Type: Individual
  • Address: 3903 S MASON RD
    APT #111
    KATY, TX
    ZIP 77450
  • Phone: (786) 660-6908

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NPI Details

Samuel Segundo Jimenez, SA-C is a surgical assistant specialist technologist other in Katy, TX. The provider is a surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. Samuel Segundo Jimenez, SA-C NPI is 1124472915. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3903 S MASON RD
APT #111
KATY, TX
ZIP 77450-708
Phone: (786) 660-6908

The enumeration date for this NPI number is 4/18/2016 and was last updated on 4/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246ZC0007XSpecialist/Technologist, OtherSurgical Assistant16-180WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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