| Mitzi T Jiminez Md | |
|
910 S Wayside Dr Suite 150 Houston TX 77023-3428 | |
| (713) 923-6333 | |
| (713) 923-4197 |
| Full Name | Mitzi T Jiminez Md |
|---|---|
| Speciality | Family Medicine |
| Location | 910 S Wayside Dr, Houston, Texas |
| Authorized Official Name and Position | Mitzi T. Jimenez (DIRECTOR) |
| Authorized Official Contact | 7139236333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitzi T Jiminez Md Po Box 231233 Houston TX 77223-1233 Ph: (713) 923-6333 | Mitzi T Jiminez Md 910 S Wayside Dr Suite 150 Houston TX 77023-3428 Ph: (713) 923-6333 |
| NPI Number | 1134161615 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 07/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134161615 | NPI | - | NPPES |
| 123701806 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F6790 (Texas) | Primary |
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