| J Raul Jimenez-soto Md Pa | |
|
2311 N Mesa Bldg I El Paso TX 79902 | |
| (915) 544-0600 | |
| (915) 544-5374 |
| Full Name | J Raul Jimenez-soto Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2311 N Mesa Bldg I, El Paso, Texas |
| Authorized Official Name and Position | George V Enriquez (BILLER) |
| Authorized Official Contact | 9155440600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J Raul Jimenez-soto Md Pa 2311 N Mesa Bldg I El Paso TX 79902-3575 Ph: (915) 544-0600 | J Raul Jimenez-soto Md Pa 2311 N Mesa Bldg I El Paso TX 79902 Ph: (915) 544-0600 |
| NPI Number | 1952591208 |
|---|---|
| Provider Enumeration Date | 08/01/2007 |
| Last Update Date | 06/19/2012 |
| Medicare PECOS PAC ID | 6103080288 |
|---|---|
| Medicare Enrollment ID | O20120621000493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952591208 | NPI | - | NPPES |
| 123782803 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jesus R Jimenez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992757355 PECOS PAC ID: 2769536010 Enrollment ID: I20120621000619 |
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