SAMUEL SEGUNDO JIMENEZ SA-C
NPI 1124472915
Specialist/Technologist, Other - Surgical Assistant in Katy, TX

Active since April 18, 2016
3903 S MASON RD, APT #111, KATY, TX 77450(786) 660-6908 Get Directions Write a Review

NPPES record last updated: April 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Segundo Jimenez Sa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL SEGUNDO JIMENEZ SA-C (NPI 1124472915) is an individual surgical assistant in Katy, Texas, licensed in Wisconsin (16-180) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1124472915
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameSAMUEL SEGUNDO JIMENEZCredential: SA-C
Location Address3903 S MASON RD, APT #111Katy, TX 77450-7708
Mailing Address3909 S Mason R, Apt #111Katy, TX 77450 · (786) 660-6908
Sole ProprietorYes
Enumeration DateApril 18, 2016
NPI 1124472915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License Licensed in WI · 16-180
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
3903 S MASON RD, Katy, TX 77450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Jimenez's NPI number?

The NPI number for Samuel Jimenez is 1124472915. It was assigned to this individual provider in the NPPES registry on April 18, 2016.

Where is Samuel Jimenez located?

Samuel Jimenez practices at 3903 S Mason Rd Apt #111, Katy, TX 77450. The listed phone number is (786) 660-6908.

What is Samuel Jimenez's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Samuel Jimenez was last updated on April 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.