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Dorian Louis Jimenez, DPM
Podiatrist in Southlake, Texas
NPI 1952397119

Dorian Louis Jimenez is a Podiatrist based in Southlake, TX. Dorian Louis Jimenez practices in Southlake, TX and has the professional credentials of DPM. The NPI Number for Dorian Louis Jimenez is 1952397119 and holds a License No. POD000998 (Texas).

The current practice location address for Dorian Louis Jimenez is 1940 Hwy 114 Suite 150, Southlake, TX and can be reached out via phone at 817-424-3668 and via fax at 817-442-8637.

Location: 1940 Hwy 114 Suite 150, Southlake, TX, 76092-3084
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952397119
Provider Name
Dorian Louis Jimenez
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1940 Hwy 114 Suite 150, Southlake, TX, 76092-3084
Phone Number
817-424-3668
Fax Number
817-442-8637
Provider Enumeration Date
09/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
582964905A 05 GA
P00427172 01 GA RAILROAD MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1940 Hwy 114 Suite 150
City
Southlake
State
Texas
Zip
76092
Phone Number
817-424-3668
Fax Number
817-442-8637
person
Provider Business Mailing Address Details
Address
1940 Hwy 114 Suite 150
City
Southlake
State
Texas
Zip
76092
Phone Number
817-424-3668
Fax Number
817-442-8637
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
000998 (Georgia)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
POD000998 (Georgia)
Definition
Definition to come...
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