Individual
LEILA SIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 BLOSSOM ST, STE 300, WEBSTER, TX 77598-4204
(281) 604-1300
(281) 724-0225
Mailing address
PO BOX 650859, DEPT 710, DALLAS, TX 75265
(409) 772-2222
(281) 724-0225
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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