Provider Demographics
NPI:1700013398
Name:JIMENEZ, CHRISTOPHER LOUIS (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:LOUIS
Last Name:JIMENEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4316 JAMES CASEY BLDG F, #201
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1116
Mailing Address - Country:US
Mailing Address - Phone:512-266-3377
Mailing Address - Fax:512-353-3039
Practice Address - Street 1:4316 JAMES CASEY BLDG F
Practice Address - Street 2:#201
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-7874
Practice Address - Country:US
Practice Address - Phone:512-266-3377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-22
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA136669207X00000X
TXQ8267207XS0114X, 207XS0114X, 207X00000X
IL125056946208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX359150502Medicaid
P02621483OtherRR MEDICARE
738719OtherMEDICARE
P02162987OtherRR MEDICARE
1G7659OtherMEDICARE