Provider Demographics
NPI:1982802393
Name:SIMS, VICKI KAYE (BC-HIS, COHC)
Entity Type:Individual
Prefix:
First Name:VICKI
Middle Name:KAYE
Last Name:SIMS
Suffix:
Gender:F
Credentials:BC-HIS, COHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532 MCKINNEY AVE
Mailing Address - Street 2:
Mailing Address - City:CORSICANA
Mailing Address - State:TX
Mailing Address - Zip Code:75110-1120
Mailing Address - Country:US
Mailing Address - Phone:903-872-7534
Mailing Address - Fax:
Practice Address - Street 1:3201 W STATE HIGHWAY 22 STE 100
Practice Address - Street 2:
Practice Address - City:CORSICANA
Practice Address - State:TX
Practice Address - Zip Code:75110-2450
Practice Address - Country:US
Practice Address - Phone:903-654-1171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5779235500000X
TX59747235500000X
TX50333237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist
Not Answered237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist