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

Mimo Medical Services, LLC

Organization Family Medicine Physician · NPI 1871107474

Mimo Medical Services, LLC is a Family Medicine Physician in Magnolia, Arkansas. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2506 Crestview Dr
Magnolia, AR 71753-4336
Phone: (479) 530-1308
Fax: (479) 968-1673
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1871107474
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mathias Groguhe — Managing Employee · (512) 201-6766
NPI enumeratedSeptember 2, 2020
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026
Mailing addressPo Box 9178, Russellville, AR 72811-9178

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