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NPI Code Detail

MEDICARE: ISAAC HERNANDEZ JIMENEZ M.D.

MEDICARE: ISAAC HERNANDEZ JIMENEZ M.D.
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
12081P0004XSpinal Cord Injury Medicine PhysicianR0019TX
2208100000XPhysical Medicine & Rehabilitation PhysicianR0019TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2542585YKY3OTHERTXMEDICARE INDIVIDUAL ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316264062
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISAAC HERNANDEZ JIMENEZ M.D.
Provider Business Mailing Address
First Line : 1133 JOHN FREEMAN BLVD # 285-C
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2809
Country : US
Telephone Number : 713-799-6956
Fax Number : 713-500-0590
Provider Business Practice Location Address
First Line : 1333 MOURSUND ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3405
Country : US
Telephone Number : 713-799-6956
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2010
Last Update Date : 12/04/2025

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