Individual
DR. DAMON A. MIMARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4383 MEDICAL DR, SAN ANTONIO, TX 78229-3307
(210) 614-5067
(210) 614-8379
Mailing address
4383 MEDICAL DR, SAN ANTONIO, TX 78229-3307
(210) 614-5067
(210) 614-8379
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
N0980
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205661603
—
TX
Enumeration date
12/28/2007
Last updated
11/04/2019
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