Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LUIS ALFONSE JIMENEZ RINCON
Active Sole ProprietorLUIS ALFONSE JIMENEZ RINCON is a Community/Behavioral Health healthcare provider located in BROKEN ARROW, Oklahoma. NPI 1760817977 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · BROKEN ARROW, OK
Registration Details
- NPI Number
- 1760817977
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 6, 2013 (12.967235249199 yrs)
- Last Updated
- Sep 6, 2013
- License
-
171M00000X (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3501 S 1ST STBROKEN ARROW, OK, 740127916Browse OK providers · Browse ZIP 74012
- Phone
- 9188133826
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Other Community/Behavioral Health Providers in BROKEN ARROW, OK
| Name | Credential | NPI |
|---|---|---|
| MANDY LYNETTE BROWN | — | 1891214748 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.