| Charles R. Sims, Md Pa | |
|
101 Vision Park Blvd Suite 100 Shenandoah TX 77384-3011 | |
| (936) 273-5214 | |
| (936) 273-5926 |
| Full Name | Charles R. Sims, Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 Vision Park Blvd, Shenandoah, Texas |
| Authorized Official Name and Position | Charles Ray Sims (PRESIDENT) |
| Authorized Official Contact | 2818251655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles R. Sims, Md Pa 101 Vision Park Blvd Suite 100 Shenandoah TX 77384-3011 Ph: (936) 273-5214 | Charles R. Sims, Md Pa 101 Vision Park Blvd Suite 100 Shenandoah TX 77384-3011 Ph: (936) 273-5214 |
| NPI Number | 1114951373 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 01/08/2013 |
| Medicare PECOS PAC ID | 2769494251 |
|---|---|
| Medicare Enrollment ID | O20060627000306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114951373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | M3390 (Texas) | Primary |
| Provider Name | Charles R Sims |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245281294 PECOS PAC ID: 7113939604 Enrollment ID: I20060627000321 |
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