Provider Demographics
NPI:1053464735
Name:CHAD E. SIMS, D.C., P.C.
Entity Type:Organization
Organization Name:CHAD E. SIMS, D.C., P.C.
Other - Org Name:SIMS CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:956-729-7730
Mailing Address - Street 1:707 E CALTON RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-3638
Mailing Address - Country:US
Mailing Address - Phone:956-729-7730
Mailing Address - Fax:
Practice Address - Street 1:707 E CALTON RD
Practice Address - Street 2:SUITE 204
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-3638
Practice Address - Country:US
Practice Address - Phone:956-729-7730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4112111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00321117OtherRAILROAD MEDICARE
TX601480OtherBLUE CROSS BLUE SHIELD
TX601480Medicare ID - Type Unspecified
TX601480OtherBLUE CROSS BLUE SHIELD