Provider Demographics
NPI:1639607161
Name:JIMENEZ, ANNER (NP)
Entity Type:Individual
Prefix:MR
First Name:ANNER
Middle Name:
Last Name:JIMENEZ
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE BAYLOR PLAZA
Mailing Address - Street 2:MS 390
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-798-7851
Mailing Address - Fax:713-798-8911
Practice Address - Street 1:7200 CAMBRIDGE ST
Practice Address - Street 2:SUITE 6B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-798-5700
Practice Address - Fax:713-798-8460
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-29
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133791363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner