Provider Demographics
NPI:1902026115
Name:SIMS, SCOTT A (DC)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:A
Last Name:SIMS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:650 N SAM HOUSTON PKWY E
Mailing Address - Street 2:SUITE 229
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-5906
Mailing Address - Country:US
Mailing Address - Phone:281-820-3490
Mailing Address - Fax:281-820-4450
Practice Address - Street 1:650 N SAM HOUSTON PKWY E
Practice Address - Street 2:SUITE 229
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-5911
Practice Address - Country:US
Practice Address - Phone:281-820-3490
Practice Address - Fax:281-820-4450
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX5405111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor