Individual
TARA LEE SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2400 QUAKER AVE, LUBBOCK, TX 79410-1834
(806) 790-2831
Mailing address
8808 ROCHESTER AVE, LUBBOCK, TX 79424-7082
(806) 323-3295
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2140246
TX
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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