Provider Demographics
NPI:1659614527
Name:NIMS, JAMES A
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:A
Last Name:NIMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9430 CONCOURSE DR
Mailing Address - Street 2:2307
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-7605
Mailing Address - Country:US
Mailing Address - Phone:281-830-4493
Mailing Address - Fax:713-776-1604
Practice Address - Street 1:9430 CONCOURSE DR
Practice Address - Street 2:2307
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7605
Practice Address - Country:US
Practice Address - Phone:281-830-4493
Practice Address - Fax:713-776-1604
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-29
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant