MEDICARE: DR. MARCUS LYNN SIMS II D.O.

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	207P00000X	Emergency Medicine Physician	N9301	TX

General Provider Information

NPI Number	:	1023303419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARCUS LYNN SIMS II D.O.

Provider Business Mailing Address
First Line	:	8927 HIGHWAY 6
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4719
Country	:	US
Telephone Number	:	281-778-8240
Fax Number	:

Provider Business Practice Location Address
First Line	:	8927 HIGHWAY 6
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4719
Country	:	US
Telephone Number	:	281-778-8240
Fax Number	:

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

Provider Enumeration Date	:	06/13/2011
Last Update Date	:	12/18/2014

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