MEDICARE: DR. CHRISTOPHER LOUIS 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
1	207X00000X	Orthopaedic Surgery Physician	A136669	CA
2	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	Q8267	TX
3	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	Q8267	TX
4	208600000X	Surgery Physician	125056946	IL
5	207X00000X	Orthopaedic Surgery Physician	Q8267	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	738719	OTHER	MEDICARE
2	P02621483	OTHER	RR MEDICARE
3	1G7659	OTHER	MEDICARE
5	P02162987	OTHER	RR MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1700013398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER LOUIS JIMENEZ M.D.

Provider Business Mailing Address
First Line	:	4316 JAMES CASEY BLDG F, #201
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-1116
Country	:	US
Telephone Number	:	512-266-3377
Fax Number	:	512-353-3039

Provider Business Practice Location Address
First Line	:	4316 JAMES CASEY BLDG F
Second Line	:	#201
City	:	AUSTIN
State	:	TX
Zip	:	78745-7874
Country	:	US
Telephone Number	:	512-266-3377
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2009
Last Update Date	:	06/11/2025

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Directions to “ DR. CHRISTOPHER LOUIS JIMENEZ M.D.” Practice Location

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