Provider Demographics
NPI:1699724997
Name:SIMS, EMMA JANE (MD)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:JANE
Last Name:SIMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9200 PINECROFT DR
Mailing Address - Street 2:STE. 400
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3218
Mailing Address - Country:US
Mailing Address - Phone:281-292-5774
Mailing Address - Fax:281-292-5780
Practice Address - Street 1:9200 PINECROFT DR
Practice Address - Street 2:STE. 400
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3218
Practice Address - Country:US
Practice Address - Phone:281-292-5774
Practice Address - Fax:281-292-5780
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4718207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8R8340OtherBLUE CROSS & BLUE SHIELD
TX153970205Medicaid
TX8C2050Medicare PIN
TXH71837Medicare UPIN