IndividualActive
Jesus Jimenez, IDC
NPI 1194931311 · Independent Duty Corpsman · Corpus Christi, TX
Provider details
- NPI number
- 1194931311
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1710I1002X (TX)
Specialties & taxonomies
Other Service Providers
Practice location
1017a Huey Dr
Corpus Christi, TX 78418
Phone: (361) 516-6492
Approximate (ZIP-level) locationGet directions
Mailing address
1017a Huey Dr
Corpus Christi, TX 78418
Registry dates
- Enumerated
- 2007-05-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.