Individual
DR. EDWARD MIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5359 HARRY HINES BLVD, 6TH FL, STE 600, DALLAS, TX 75390
(214) 645-5505
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
(817) 461-0201
(817) 861-3365
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
R3712
TX
207RP1001X
Pulmonary Disease Physician
Primary
R3712
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R3712
TEXAS MEDICAL BOARD
TX
Enumeration date
08/30/2010
Last updated
02/10/2020
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