Van Der Leden, Mimi
Van Der Leden, Mimi is an sole proprietor health care provider with primary practice located at 18425 Champion Forest Dr , Spring TX 77379-3999. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Van Der Leden, Mimi can be contacted via phone (281) 376-4410.Contact Information
Primary practice address
18425 Champion Forest Dr
Spring TX 77379-3999
Phone: (281) 376-4410
Fax: (281) 251-7505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L1227 | Texas |
Profile Details
| NPI number | 1932166741 |
|---|---|
| LBN Legal business name | Van Der Leden, Mimi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jul 9th, 2013 - about 11 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 | 1932166741 | NPPES |
| Texas | Other | 0045JQ | BCBS# |
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