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1407982523
JASON PHILLIP JIMENEZ
SAN ANTONIO, TX
NPI
1407982523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX SA00556)
Enumeration Date
2007-02-25
Last Update Date
2022-12-09
Business Address
JASON PHILLIP JIMENEZ LSA
540 MADISON OAK DR STE 610
SAN ANTONIO, TX 78258-3924
Phone number: 210-352-5346
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Mailing Address
JASON PHILLIP JIMENEZ LSA
10278 MISSION CRK
CONVERSE, TX 78109-1680
Phone number: 210-685-7857
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