Provider Demographics
NPI:1740274919
Name:SHIMER, ANDREW T (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:T
Last Name:SHIMER
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 1:7900 HENNEMAN WAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2914
Mailing Address - Country:US
Mailing Address - Phone:214-544-6600
Mailing Address - Fax:214-544-7770
Practice Address - Street 1:7900 HENNEMAN WAY
Practice Address - Street 2:SUITE 100
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-2914
Practice Address - Country:US
Practice Address - Phone:214-544-6600
Practice Address - Fax:214-544-7770
Is Sole Proprietor?:No
Enumeration Date:2005-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ6723207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8385M0Medicare ID - Type Unspecified
TXF86758Medicare UPIN