Healthcare Provider Details

I. General information

NPI: 1073519203
Provider Name (Legal Business Name): WILLIAM LOUIS SIMS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 04/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 W FOREST LN
HOBART OK
73651-1645
US

IV. Provider business mailing address

429 WEST ELM ELKVIEW GENERAL HOSPITAL
HOBART OK
73651-1615
US

V. Phone/Fax

Practice location:
  • Phone: 580-726-5673
  • Fax: 580-726-2416
Mailing address:
  • Phone: 580-726-1900
  • Fax: 580-726-1984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number9800390
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: