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NPI Code Detail

MEDICARE: DR. ALEXANDER DAVID JIMENEZ DC

MEDICARE:  DR. ALEXANDER DAVID JIMENEZ  DC
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
1111N00000XChiropractorDC2182NM
2111N00000XChiropractorDC5807TX
3363LF0000XFamily Nurse Practitioner1191402TX

General Provider Information

NPI Number : 1205907805
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEXANDER DAVID JIMENEZ DC
Provider Business Mailing Address
First Line : 11860 VISTA DEL SOL
Second Line : SUITE 128
City : EL PASO
State : TX
Zip : 79936-6128
Country : US
Telephone Number : 915-412-6677
Fax Number : 866-574-1351
Provider Business Practice Location Address
First Line : 11860 VISTA DEL SOL
Second Line : SUITE 128
City : EL PASO
State : TX
Zip : 79936-6128
Country : US
Telephone Number : 915-412-6677
Fax Number : 866-574-1351
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2006
Last Update Date : 09/09/2025

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Directions to “ DR. ALEXANDER DAVID JIMENEZ DC” Practice Location

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