Individual
KALEY MIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
9250 PINECROFT DR, SHENANDOAH, TX 77380-3218
(215) 908-3820
Mailing address
27602 BALCONES HEIGHTS BLVD, FULSHEAR, TX 77441-1570
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
TX
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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