Provider Demographics
NPI:1114951373
Name:CHARLES R. SIMS, MD PA
Entity Type:Organization
Organization Name:CHARLES R. SIMS, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-825-1655
Mailing Address - Street 1:101 VISION PARK BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77384-3011
Mailing Address - Country:US
Mailing Address - Phone:936-273-5214
Mailing Address - Fax:936-273-5926
Practice Address - Street 1:101 VISION PARK BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77384-3011
Practice Address - Country:US
Practice Address - Phone:936-273-5214
Practice Address - Fax:936-273-5926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3390207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty