Provider Demographics
NPI:1336114313
Name:SIMS, MICHAEL D (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:D
Last Name:SIMS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3400 W WHEATLAND RD
Mailing Address - Street 2:PAV III STE#360
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-4418
Mailing Address - Country:US
Mailing Address - Phone:214-884-4700
Mailing Address - Fax:214-884-4749
Practice Address - Street 1:4560 LAKE RIDGE PARKWAY
Practice Address - Street 2:SUITE 200
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052
Practice Address - Country:US
Practice Address - Phone:972-263-5272
Practice Address - Fax:972-263-3488
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2018-06-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK3008207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX047165803Medicaid
TX8K2771OtherBC/BS
TX8K2771OtherBC/BS