Provider Demographics
NPI:1922327733
Name:SIM, JI HYE
Entity Type:Individual
Prefix:
First Name:JI HYE
Middle Name:
Last Name:SIM
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 1:1416 CAMPBELL RD
Mailing Address - Street 2:#100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-4752
Mailing Address - Country:US
Mailing Address - Phone:713-468-3155
Mailing Address - Fax:281-809-7001
Practice Address - Street 1:1416 CAMPBELL RD
Practice Address - Street 2:#100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-4752
Practice Address - Country:US
Practice Address - Phone:713-468-3155
Practice Address - Fax:281-809-7001
Is Sole Proprietor?:No
Enumeration Date:2010-05-19
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX783744363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health