Sims, Michael D.

Sims, Michael D. is an individual health care provider with primary practice located at 805 Medical Dr , Longview TX 75605-5130. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Sims, Michael D. can be contacted via phone (903) 232-8100.

Contact Information

Primary practice address
805 Medical Dr Longview TX 75605-5130
Fax: (903) 232-8115
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA02843 Texas

Profile Details

NPI number 1427053180
LBN Legal business name Sims, Michael D.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Sep 28th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427053180 NPPES
Texas MEDICAID 287643503

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