Provider Demographics
NPI:1871902858
Name:RACHEL SIM MD PA
Entity type:Organization
Organization Name:RACHEL SIM MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MEESUN
Authorized Official - Middle Name:RACHEL
Authorized Official - Last Name:SIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-838-1089
Mailing Address - Street 1:6309 PRESTON RD STE 1400
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-2740
Mailing Address - Country:US
Mailing Address - Phone:469-443-0719
Mailing Address - Fax:469-443-0569
Practice Address - Street 1:6309 PRESTON RD STE 1400
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024
Practice Address - Country:US
Practice Address - Phone:469-443-0719
Practice Address - Fax:469-443-0569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-04
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6026207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty