Individual
MARTHA PRITCHETT MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1504 TAUB LOOP, DEPT. OF MEDICINE, HOUSTON, TX 77030-1608
(713) 873-2000
Mailing address
2 E GREENWAY PLZ, SUITE 900, HOUSTON, TX 77046-0297
(713) 798-1835
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L2474
TX
207RH0003X
Hematology & Oncology Physician
Primary
L2474
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166368401
—
TX
Enumeration date
04/25/2007
Last updated
11/24/2020
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