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General NPI Number Information
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NPI Number | 1225245079
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Entity Type | Organization
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Legal Business Name | ROBERT L. JIMENEZ, MD, PA
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 2515 MCCULLOUGH AVE STE A
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City | SAN ANTONIO
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State | TX
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Zip | 78212-3584
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Country | US
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Telephone | 210-612-3244
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Fax | 210-637-9034
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Provider Business Mailing Address
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Address Line | PO BOX 15407
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City | SAN ANTONIO
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State | TX
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Zip | 78212-8607
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Country | US
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Telephone | 210-612-3244
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Fax | 210-637-9034
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT L. JIMENEZ
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Credential | MD
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Telephone | 210-612-3244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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