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Individual

CHRISTIAN MIMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
900 S BAXTER AVE, TYLER, TX 75701-2209
(903) 312-3310
Mailing address
16531 JANAN DR, TYLER, TX 75707-7629
(903) 312-3310

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2147730
TX

Other

Enumeration date
04/20/2020
Last updated
10/03/2023
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