| Rachel Sim Md Pa | |
|
6309 Preston Rd Ste 1400 Plano TX 75024 | |
| (469) 443-0719 | |
| (469) 443-0569 |
| Full Name | Rachel Sim Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 6309 Preston Rd Ste 1400, Plano, Texas |
| Authorized Official Name and Position | Meesun Rachel Sim (PRESIDENT) |
| Authorized Official Contact | 6178381089 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel Sim Md Pa 6309 Preston Rd Ste 1400 Plano TX 75024-2740 Ph: (469) 443-0719 | Rachel Sim Md Pa 6309 Preston Rd Ste 1400 Plano TX 75024 Ph: (469) 443-0719 |
| NPI Number | 1871902858 |
|---|---|
| Provider Enumeration Date | 08/04/2014 |
| Last Update Date | 10/02/2018 |
| Medicare PECOS PAC ID | 4183946361 |
|---|---|
| Medicare Enrollment ID | O20141124002392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871902858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | N6026 (Texas) | Primary |
| Provider Name | Meesun Rachel Sim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205018926 PECOS PAC ID: 1658443445 Enrollment ID: I20110103000990 |
| Provider Name | Min Kyung Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609233287 PECOS PAC ID: 6305137373 Enrollment ID: I20160622000998 |
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