Provider Demographics
NPI:1528378288
Name:SIMS, ARVELENE
Entity Type:Individual
Prefix:MRS
First Name:ARVELENE
Middle Name:
Last Name:SIMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 ROSS AVE.
Mailing Address - Street 2:
Mailing Address - City:DALLAS,
Mailing Address - State:TX
Mailing Address - Zip Code:75204
Mailing Address - Country:US
Mailing Address - Phone:972-925-3386
Mailing Address - Fax:
Practice Address - Street 1:3700 ROSS AVE.
Practice Address - Street 2:
Practice Address - City:DALLAS,
Practice Address - State:TX
Practice Address - Zip Code:75204
Practice Address - Country:US
Practice Address - Phone:972-925-3386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX596893171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator