Mims, Ira Eugene
Mims, Ira Eugene is an sole proprietor health care provider with primary practice located at 1565 W Main St #205, Lewisville TX 75067-3394. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mims, Ira Eugene can be contacted via phone (972) 436-0788.Contact Information
Primary practice address
1565 W Main St #205
Lewisville TX 75067-3394
Phone: (972) 436-0788
Fax: (972) 436-9188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 29332 | Texas |
Profile Details
| NPI number | 1811329279 |
|---|---|
| LBN Legal business name | Mims, Ira Eugene |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2013 |
| Last updated | Jan 19th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811329279 | NPPES |
| Texas | MEDICAID | 323777803 |
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