Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | AP132599 | TX |
NPI | 1497297915 |
---|---|
Provider Name | Evaline W Sims |
First Address | Houston, TX 77030-5389 |
Second Address | Houston, TX 77030-1501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2016 |
Last Update Date | 11/01/2022 |