SearchTexasIndependent Duty Corpsman

Jesus Jimenez, IDC

NPI 1194931311 · on the registry since 2007 · sole proprietor

Practice

Address
1017a Huey Dr
Corpus Christi, TX 78418
Phone
(361) 516-6492

Registry record

Primary taxonomy
Independent Duty Corpsman
1710I1002X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas