Angel R Jimenez MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

D4170 Issued in TX

Legal business name

ANGEL R JIMENEZ MD PA

Practice address

16099 NW Military Hwy
Shavano Park, TX 78231-1217

Phone

(210) 224-5563

NPI assigned

Aug 12, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Angel R Jimenez, MD

Title

President

Phone

(210) 224-5563

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265500800000",
    "number": "1043466857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16099 NW MILITARY HWY",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311217",
            "telephone_number": "210-224-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16099 NW MILITARY HWY",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311217",
            "telephone_number": "210-224-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL R JIMENEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2010-02-07",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-224-5563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "D4170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV TPI",
            "identifier": "035278302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1043466857",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1174526628",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199960901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriella Arredondo Almanza, LPC
• Andrea Menchaca Alvarez, LPC
• Mirtha Marlene Alvarez
• Ama Behavioral Therapy, PLLC
• Neda Amiry, NP-C
• Julia Garza Bailey, M.D.
• Juliette Barrera, ACNPC-AG
• Baumholtz Plastic Surgery Associates, PLLC
• Michael Aaron Baumholtz, MD, MS
• Caroline Gaines Behrens, CPC

• Surgery Physician in Shavano Park, TX
• Providers in Shavano Park, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.