Provider Demographics
NPI:1376930180
Name:SIMS, CAITLIN (DC)
Entity Type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:
Last Name:SIMS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 LUBBOCK RD
Mailing Address - Street 2:
Mailing Address - City:BROWNFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:79316-2731
Mailing Address - Country:US
Mailing Address - Phone:806-637-0806
Mailing Address - Fax:806-637-0810
Practice Address - Street 1:1003 LUBBOCK RD
Practice Address - Street 2:
Practice Address - City:BROWNFIELD
Practice Address - State:TX
Practice Address - Zip Code:79316-2731
Practice Address - Country:US
Practice Address - Phone:806-637-0806
Practice Address - Fax:806-637-0810
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-20
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12920111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor