| Joe A Mims, MD | |
|
102 N Magdalen St, San Angelo, TX 76903-5400 | |
| (325) 658-1511 | |
| Not Available |
| Full Name | Joe A Mims |
|---|---|
| Gender | Male |
| Speciality | Pathology - Clinical Pathology/laboratory Medicine |
| Location | 102 N Magdalen St, San Angelo, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851376115 | NPI | - | NPPES |
| 110206301 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | G2558 (Texas) | Primary |
| Entity Name | Shannon Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
| Mailing Address | Practice Location Address |
|---|---|
| Joe A Mims, MD Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511 | Joe A Mims, MD 102 N Magdalen St, San Angelo, TX 76903-5400 Ph: (325) 658-1511 |
Stephen M Stanley, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-658-1511 | |
Dr. Anthony Charles Soldano, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-657-5217 | |
Dr. Kelly C. Hallmark, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-747-1511 | |
Jerry K Gideon, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-658-1511 | |
Limin Yang, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-6741 |