Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samuel Segundo Jimenez, SA-C

Individual provider Surgical Assistant · NPI 1124472915

Samuel Segundo Jimenez, SA-C is a Surgical Assistant in Katy, Texas. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2016
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Practice location Address checks out

3903 S Mason Rd Apt #111
Katy, TX 77450-7708
Phone: (786) 660-6908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 16-180 (WI)

Record details

NPI number1124472915
Entity typeIndividual (Type 1)
GenderMale
Credentials SA-C
Sole proprietorYes
NPI enumeratedApril 18, 2016
Last updated in NPPESApril 18, 2016
Mailing address3909 S Mason R, Apt #111, Katy, TX 77450

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