# ROGER SIMS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1689696882
- **Gender:** Man
- **Credential:** CRNA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367500000X | Certified Registered Nurse Anesthetist | 634931 | TX | Yes |

## Other

- **Enumeration date:** 07/24/2006
- **Last updated:** 08/19/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 109845107 | — | TX |
| 01 | — | 88933U | BCBS OF TEXS | TX |
| 01 | — | TIN PLUS 015 | TRICARE | TX |