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Individual

LEILA SIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H6956
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102206303
TX
01
7289018
AETNA
TX
01
87606Z
HMO BLUE
TX
01
8F6733
BCBS
TX
Enumeration date
09/07/2005
Last updated
02/25/2023
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