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MITZI T JIMINEZ MD NPI 1134161615


NPI Information

NPI: 1134161615
Provider Name: MITZI T JIMINEZ MD
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
910 S WAYSIDE DR
SUITE 150
HOUSTON, TX
ZIP 77023
Phone: (713) 923-6333
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MITZI T JIMINEZ MD is a family medicine in Houston, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MITZI T JIMINEZ MD NPI is 1134161615. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

910 S WAYSIDE DR
SUITE 150
HOUSTON, TX
ZIP 77023-428
Phone: (713) 923-6333
Fax: (713) 923-4197

The provider's authorized official is Mitzi T. Jimenez .
The authorized official title is Director and has the following contact phone number (713) 923-6333.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 7/8/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineF6790TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E86090MEDICARE UPINTEXAS
200NT73MEDICARE PINTEXAS
3123701806MEDICAIDTEXAS
400NT73MEDICARE ID-TYPE UNSPECIFIEDTEXAS

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: 4/28/2024

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