Individual
GEORGE E MIMARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8042 WURZBACH RD, STE 630, SAN ANTONIO, TX 78229-3818
(210) 614-5067
(210) 593-5992
Mailing address
8042 WURZBACH RD, STE 630, SAN ANTONIO, TX 78229-3818
(210) 614-5067
(210) 593-5992
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E1063
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089565805
—
TX
05
—
809565801
—
TX
Enumeration date
07/08/2005
Last updated
06/24/2015
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