Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mimi's

Organization Exclusive Provider Organization · NPI 1063661809

Mimi's is an Exclusive Provider Organization in Austin, Texas. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

12636 Research Blvd Ste C 109
Austin, TX 78759-2200
Phone: (512) 470-5943
Fax: (512) 231-1182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Exclusive Provider Organization (primary) Taxonomy 302F00000X

Record details

NPI number1063661809
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pat Brenner — Owner/Operator · (512) 470-5943
NPI enumeratedSeptember 17, 2008
Last updated in NPPESSeptember 17, 2008
Mailing address12636 Research Blvd, Suite C 109, Austin, TX 78759-2200

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