Provider Demographics
NPI:1295851202
Name:SIMS, RONALD ESTEENE (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:ESTEENE
Last Name:SIMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29618 TERRA BELLA
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS RANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78015-4572
Mailing Address - Country:US
Mailing Address - Phone:830-755-5336
Mailing Address - Fax:
Practice Address - Street 1:1421 S MAIN ST
Practice Address - Street 2:SUITE 111
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-3321
Practice Address - Country:US
Practice Address - Phone:830-249-9995
Practice Address - Fax:830-249-9868
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG0123207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC21852Medicare UPIN