Individual
DR. CHAD EDWARD SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
707 E CALTON RD, SUITE 204, LAREDO, TX 78041-3638
(956) 729-7730
Mailing address
707 E CALTON RD, SUITE 204, LAREDO, TX 78041-3638
(956) 729-7730
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4112
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001250201
—
TX
01
—
353010800
FEDERAL WORK COMP.
TX
01
—
601480
BLUE CROSS BLUE SHIELD
TX
01
—
P00321117
RAILROAD MEDICARE
TX
Enumeration date
01/18/2007
Last updated
02/12/2008
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