Most Relevant Information
Provider Data
| NPI Number: | 1003443599 |
| Provider Name: | NATALIE VIDAL JIMENEZ MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/24/2020 |
| Last Updated: | 07/18/2023 |
Provider Practice Location
3308 DEEN RD
FORT WORTH
TX
761066524
Practice Location Phone/Fax
| Phone: | 8177021100 |
| Fax: |
Provider Mailing Location
900 8TH AVE
FORT WORTH
TX
761043902
Provider Mailing Phone/Fax
| Phone: | 8173362100 |
| Fax: |