Mimi'S

LBN: Mimi'S
Mimi'S is an health care organization with primary practice located at 12636 Research Blvd Suite C 109, Austin TX 78759-2200. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Mimi'S can be contacted via phone (512) 470-5943, or through Brenner, Pat Canter via phone (512) 470-5943.

Contact Information

Primary practice address
12636 Research Blvd Suite C 109 Austin TX 78759-2200
Phone: (512) 470-5943
Fax: (512) 231-1182
Website:
Map and Directions
Authorized official contact:
Name: Brenner, Pat Canter
Phone: (512) 470-5943

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X

Profile Details

NPI number 1063661809
LBN Legal business name Mimi'S
DBA Doing business as
Authorized official Brenner, Pat Canter
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2008
Last updated Sep 17th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers