Provider Demographics
NPI:1518104181
Name:SIMS, DORI KAY (PA)
Entity Type:Individual
Prefix:MRS
First Name:DORI
Middle Name:KAY
Last Name:SIMS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 W TRINITY ST
Mailing Address - Street 2:
Mailing Address - City:GROESBECK
Mailing Address - State:TX
Mailing Address - Zip Code:76642-1324
Mailing Address - Country:US
Mailing Address - Phone:254-729-3740
Mailing Address - Fax:
Practice Address - Street 1:204 W TRINITY ST
Practice Address - Street 2:
Practice Address - City:GROESBECK
Practice Address - State:TX
Practice Address - Zip Code:76642-1324
Practice Address - Country:US
Practice Address - Phone:254-729-3740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-19
Last Update Date:2009-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant