Shannon R. Jimenez in Conroe - Family Medicine
Shannon R. Jimenez - NPI 1568552628
Shannon R. Jimenez is a Family Medicine in Conroe, Texas. Shannon R. Jimenez practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Shannon R. Jimenez is 1568552628. The last update date is 2020-03-09.
Shannon R. Jimenez's current location address is 690 S Loop 336 W, Conroe, Texas. You can contact this provider via phone number 9365253600 and fax number 9365253624. The mailing address for Shannon R. Jimenez is 690 S Loop 336 W, Conroe, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon R. Jimenez |
|---|---|
| Address | 690 S Loop 336 W, Conroe, Texas |
| Phone Number | 9365253600 |
| Fax Number | 9365253624 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1568552628 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2020-03-09 |
Provider Mailing Address Detail
| Address | 690 S Loop 336 W |
|---|---|
| City | Conroe |
| State | Texas (TX) |
| Post Code | 773043320 |
| Phone Number | 9365253600 |
| Fax Number | 9365253624 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 9900553 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 790150C | NC | -- | |
| 0150C | NC | BLUE CROSS GROUP # | |
| 891215K | NC | -- | |
| 1215K | NC | BLUE CROSS INDIVIDUAL |
Post Comment/ Review Below
What is the unique identification code assigned to Shannon R. Jimenez by the Centers for Medicare & Medicaid Services?
The Shannon R. Jimenez has been issued the NPI (National Provider Identifier) 1568552628. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Shannon R. Jimenez's facilities are situated?
The facilities of Shannon R. Jimenez are physically located at the following address: 690 S Loop 336 W, Conroe, TX, 773043320.
What is Shannon R. Jimenez's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shannon R. Jimenez is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Shannon R. Jimenez receive its 1568552628 assignment from the Centers for Medicare & Medicaid Services?
The Shannon R. Jimenez was assigned its 1568552628 by the Centers for Medicare & Medicaid Services on 2006-10-12.
When was the Shannon R. Jimenez's information last updated?
The Shannon R. Jimenez's information was last updated on 2020-03-09.
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