OrganizationActive
Mimi'S
NPI 1063661809 · Exclusive Provider Organization · Austin, TX
Provider details
- NPI number
- 1063661809
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Pat Brenner, Owner/Operator(512) 470-5943
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12636 Research Blvd
Suite C 109
Austin, TX 78759-2200
Phone: (512) 470-5943
Fax: (512) 231-1182
Street-level locationGet directions
Mailing address
12636 Research Blvd
Austin, TX 78759-2200
Registry dates
- Enumerated
- 2008-09-17
- Last updated
- 2008-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.