Active NPI
George E Mimari, MD
- Surgery Physician
- San Antonio, TX
National Provider Identifier
1982602546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- E1063
- Practice address
- 8042 Wurzbach Rd
Ste 630
San Antonio, TX 78229-3818 - Phone
- (210) 614-5067
- Fax
- (210) 593-5992
- NPI assigned
- Jul 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | E1063 | TX | Primary |
Addresses
Primary practice location
8042 Wurzbach Rd
Ste 630
San Antonio, TX 78229-3818
Mailing address
8042 Wurzbach Rd
Ste 630
San Antonio, TX 78229-3818
Phone (210) 614-5067
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 809565801 | Medicaid | TX | |
| 089565805 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mimari Surgical Associates,PLLC | Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- San Antonio, TX
- NPI 1245474717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789257600000",
"number": "1982602546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8042 WURZBACH RD",
"address_2": "STE 630",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293818",
"telephone_number": "210-614-5067",
"fax_number": "210-593-5992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8042 WURZBACH RD",
"address_2": "STE 630",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293818",
"telephone_number": "210-614-5067",
"fax_number": "210-593-5992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIMARI",
"first_name": "GEORGE",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2026-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "E1063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "809565801",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "089565805",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.