Mirror Image by Christine

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MIRROR IMAGE BY CHRISTINE

Practice address

121 Westerly PL
Cibolo, TX 78108-3207

Phone

(210) 334-0485

NPI assigned

Sep 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Christine Marie Cornejo, CA CDT

Title

President

Phone

(210) 334-0485

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992804983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 WESTERLY PL",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083207",
            "telephone_number": "210-334-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 WESTERLY PL",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083207",
            "telephone_number": "210-334-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRROR IMAGE BY CHRISTINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORNEJO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-334-0485",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CA CDT"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah E Marks, MSN, APRN, FNP-BC
• Erica Mata, LMT
• Natania Evette Mathis, LCSW
• Jessica T Maxwell, PHD, OTD, OTR, CEAS
• Lisa Meditz, LVN
• Mission Rehabilitation and Sports Medicine Limited Partnership
• Charlotte Mitchell, BCBA
• Mobile Motion Physical Therapy and Wellness Services
• Abdullah Asser Mohammed
• Rebecca Michelle Moody, BCBA

• Customized Equipment (DME) in Cibolo, TX
• Providers in Cibolo, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.