MEDICARE: SIMS MANAGEMENT, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZE0600X	Electroneurodiagnostic Specialist/Technologist
2	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number	:	1114012010
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIMS MANAGEMENT, INC.

Provider Business Mailing Address
First Line	:	902 KINGS FOREST LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-5521
Country	:	US
Telephone Number	:	713-623-6762
Fax Number	:

Provider Business Practice Location Address
First Line	:	2116 BISSONNET ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-1508
Country	:	US
Telephone Number	:	713-623-6762
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. SAMUEL G. SIMS
Credential	:	RPSGT
Telephone Number	:	713-623-6762

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	07/29/2008

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