Provider Demographics
NPI:1548423387
Name:SIMS, KOURTNEY DELAINE (MD)
Entity Type:Individual
Prefix:DR
First Name:KOURTNEY
Middle Name:DELAINE
Last Name:SIMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2689
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77588-2689
Mailing Address - Country:US
Mailing Address - Phone:832-415-0376
Mailing Address - Fax:281-741-2459
Practice Address - Street 1:2000 CRAWFORD ST STE 1100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-9009
Practice Address - Country:US
Practice Address - Phone:832-415-0376
Practice Address - Fax:281-741-2459
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-02
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM96572083B0002X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L4075Medicare PIN
TX197436201Medicaid