Individual
MR. MICHAEL R SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC LAT
Contact information
Practice address
1500 S UNIVERSITY PARKS DR, WACO, TX 76706-1211
(254) 710-1021
(254) 710-4307
Mailing address
1200 HEATHERWOOD, HEWITT, TX 76643-3900
(254) 857-9235
(254) 710-4307
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0552
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2255A2300X
ATHLETIC TRAINER
TX
Enumeration date
07/07/2006
Last updated
09/15/2009
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