Healthcare Provider Details

I. General information

NPI: 1700013398
Provider Name (Legal Business Name): CHRISTOPHER LOUIS JIMENEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2009
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4316 JAMES CASEY BLDG F #201
AUSTIN TX
78745-7874
US

IV. Provider business mailing address

4316 JAMES CASEY BLDG F, #201
AUSTIN TX
78745-1116
US

V. Phone/Fax

Practice location:
  • Phone: 512-266-3377
  • Fax:
Mailing address:
  • Phone: 512-266-3377
  • Fax: 512-353-3039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA136669
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberQ8267
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberQ8267
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number125056946
License Number StateIL
# 5
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberQ8267
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: