Individual provider · Type 1 NPI

Sophia Gabrielle Jimenez

Student in an Organized Health Care Education/Training Program · Austin, TX

NPI number 1639757750 Active

Practice location

901 W Ben White Blvd
Austin, TX 78704-6903

Call (513) 377-3631 Map

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician 2086S0129X036.180534 (IL)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1639757750

Sophia Gabrielle Jimenez's National Provider Identifier is 1639757750, issued on Mar 30, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Austin, TX. The record was last updated on Jun 19, 2026.