Provider Demographics
NPI:1841278686
Name:SIMS, FRANKIE (MS)
Entity type:Individual
Prefix:
First Name:FRANKIE
Middle Name:
Last Name:SIMS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1353 N WESTMORELAND RD
Mailing Address - Street 2:BLDG. F
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75211-1655
Mailing Address - Country:US
Mailing Address - Phone:214-331-0112
Mailing Address - Fax:214-333-7097
Practice Address - Street 1:1353 N WESTMORELAND RD
Practice Address - Street 2:BLDG. F
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75211-1655
Practice Address - Country:US
Practice Address - Phone:214-331-0112
Practice Address - Fax:214-333-7097
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11473235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM201021567OtherPRESBYTERIAN COMMERCIAL
TX079254101Medicaid
NM201021567Medicaid
TX83702ZOtherHMO BLUE
NMA311OtherTRIWEST
OK100670780AMedicaid
NM54123763Medicaid
TX87167TOtherBC/BS