Mitzi T. Jimenez MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F-6790 Issued in TX

Legal business name

MITZI T. JIMENEZ MD PA

Practice address

910 S Wayside Dr Ste 150
Houston, TX 77023-3430

Phone

(713) 923-6333

Fax

(713) 923-4197

NPI assigned

Nov 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mitzi T Jimenez, MDNPI 1912941774

Title

Director

Phone

(713) 923-6333

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitzi T Jimenez, M.D.

  • Family Medicine Physician
  • Houston, TX
  • NPI 1912941774
  Medicare reassignment NPD Authorized official
• Rudens Viera Galvez, APRN-CNP

  • Nurse Practitioner
  • Houston, TX
  • NPI 1598332207
  Medicare reassignment NPD

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1255618112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231233",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772231233",
            "telephone_number": "713-923-6333",
            "fax_number": "713-923-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S WAYSIDE DR STE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770233430",
            "telephone_number": "713-923-6333",
            "fax_number": "713-923-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITZI T. JIMENEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-07",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "MITZI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-923-6333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F-6790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "F6790",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Gupta Mittal, M.D.
• Nitish Mittal, MD
• Sahil Mittal, M.D.
• Vijay Mittal, M.D.
• Mitzi T Jiminez MD
• Oyuki Miwa Saldivar, FNP-BC
• Simone Joelle Mixon, DPT
• Christina Yumi Miyake, MD
• Michael James Mize, LPC
• Michael Leo Mizell, D.D.S.

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.