Individual
MICHAEL N SIMS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 W COLLEGE ST, #540, GRAPEVINE, TX 76051
(817) 481-5863
(817) 329-8561
Mailing address
1600 W COLLEGE ST, #540, GRAPEVINE, TX 76051
(817) 481-5863
(817) 329-8561
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E2860
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
065588Z
AETNA
—
05
—
11456410Z
—
TX
01
—
893Z1B
BS
—
Enumeration date
04/20/2006
Last updated
07/08/2007
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