MEDICARE: FRANKIE SIMS MS

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	235Z00000X	Speech-Language Pathologist	11473	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	201021567	OTHER	NM	PRESBYTERIAN COMMERCIAL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	83702Z	OTHER	TX	HMO BLUE
5	A311	OTHER	NM	TRIWEST
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	87167T	OTHER	TX	BC/BS

General Provider Information

NPI Number	:	1841278686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANKIE SIMS MS

Provider Business Mailing Address
First Line	:	1353 N WESTMORELAND RD
Second Line	:	BLDG. F
City	:	DALLAS
State	:	TX
Zip	:	75211-1655
Country	:	US
Telephone Number	:	214-331-0112
Fax Number	:	214-333-7097

Provider Business Practice Location Address
First Line	:	1353 N WESTMORELAND RD
Second Line	:	BLDG. F
City	:	DALLAS
State	:	TX
Zip	:	75211-1655
Country	:	US
Telephone Number	:	214-331-0112
Fax Number	:	214-333-7097

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	02/01/2012

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Directions to “ FRANKIE SIMS MS” Practice Location

Language	Start Address	Practice Location

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