Provider Demographics
NPI:1609484617
Name:DIMAS, CHRISTINE MERCY (NEUROTOXIN)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:MERCY
Last Name:DIMAS
Suffix:
Gender:F
Credentials:NEUROTOXIN
Other - Prefix:MRS
Other - First Name:CHRISTINE
Other - Middle Name:MERCY
Other - Last Name:ACOSTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3355 CHERRY RIDGE DR STE 103B
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-4827
Mailing Address - Country:US
Mailing Address - Phone:210-772-7177
Mailing Address - Fax:
Practice Address - Street 1:3355 CHERRY RIDGE DR STE 103B
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-4827
Practice Address - Country:US
Practice Address - Phone:210-772-7177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-15
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172P00000XOther Service ProvidersNaprapath