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NPI Code Detail

MEDICARE: NATALIE VIDAL JIMENEZ MD

MEDICARE:   NATALIE  VIDAL JIMENEZ  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianU5552TX

General Provider Information

NPI Number : 1003443599
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE VIDAL JIMENEZ MD
Provider Business Mailing Address
First Line : 211 E 7TH ST STE 700
Second Line :
City : AUSTIN
State : TX
Zip : 78701-3218
Country : US
Telephone Number : 888-478-8432
Fax Number :
Provider Business Practice Location Address
First Line : 2755 ELLIS AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76164-7131
Country : US
Telephone Number : 888-478-8432
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2020
Last Update Date : 03/31/2026

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Directions to “ NATALIE VIDAL JIMENEZ MD” Practice Location

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