| Robert L. Jimenez, Md, Pa | |
|
2515 Mccullough Ave Ste A San Antonio TX 78212-3584 | |
| (210) 612-3244 | |
| (210) 637-9034 |
| Full Name | Robert L. Jimenez, Md, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2515 Mccullough Ave Ste A, San Antonio, Texas |
| Authorized Official Name and Position | Robert L. Jimenez (PRESIDENT) |
| Authorized Official Contact | 2106123244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert L. Jimenez, Md, Pa Po Box 15407 San Antonio TX 78212-8607 Ph: (210) 612-3244 | Robert L. Jimenez, Md, Pa 2515 Mccullough Ave Ste A San Antonio TX 78212-3584 Ph: (210) 612-3244 |
| NPI Number | 1225245079 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 06/20/2024 |
| Certification Date | 12/17/2021 |
| Medicare PECOS PAC ID | 8022165968 |
|---|---|
| Medicare Enrollment ID | O20090413000271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225245079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Robert Leo Jimenez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083713614 PECOS PAC ID: 1850448796 Enrollment ID: I20090413000264 |
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