Provider Demographics
NPI:1245281294
Name:SIMS, CHARLES (MD)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:
Last Name:SIMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 STORM MIST PL
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-6646
Mailing Address - Country:US
Mailing Address - Phone:936-321-6175
Mailing Address - Fax:
Practice Address - Street 1:101 VISION PARK BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77384-3011
Practice Address - Country:US
Practice Address - Phone:281-273-5214
Practice Address - Fax:936-273-5926
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-15
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3390207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease