DAVID LEON MIMS (NPI# 1720515059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720515059 |
| Entity Type | Individual |
| Full Name | DAVID LEON MIMS |
| Practice Address |
1412 Roma Ln Fort Worth TX 76134-2304 |
| Practice Telephone | 6825834545 |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
TX | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174610729 | David Matthew Mims | Chiropractor | 24982 Us Highway 31, Jemison, AL 35085-7830 | 2006-10-06 |
| Street Address |
1412 ROMA LN |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76134-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649524125 | En'style Hair & Total Image Studio | Prosthetic/Orthotic Supplier | 1173 Sunderland Lane, Fort Worth, TX 76134 | 2012-11-05 |
| 1144479601 | Vidya Sri Suri | Dentist | 1900 W Everman Parkway #130, Fort Worth, TX 76134 | 2008-09-09 |
| 1003004490 | Richard Irwin Marks | Dentist | 105 Bellvue Dr, Fort Worth, TX 76134 | 2007-10-10 |
| 1477518009 | Peter D Hayward | Emergency Medicine | 11801 S Freeway, Fort Worth, TX 76134 | 2006-04-18 |
| 1013439686 | Serenity Square L.l.c | Respite Care | 1121 Kielder Cir, Ft. Worth, TX 76134 | 2017-07-14 |
| 1154869717 | Sycamore Dental | Dentist | 1900 W Everman Parkway #130, Fort Worth, TX 76134 | 2017-02-03 |
| 1346265071 | Huguley Emergency Physicians, LLP | Emergency Medicine | 11801 S Freeway, Fort Worth, TX 76134 | 2006-07-13 |
| 1851356471 | Harold E Johnson | Emergency Medicine | 11801 S. Freeway, Fort Worth, TX 76134 | 2006-04-18 |
| 1023073665 | Karim S Jamal | Emergency Medicine | 11801 S. Freeway, Fort Worth, TX 76134 | 2006-04-18 |
| 1508821216 | Mehboob S Qassam | Emergency Medicine | 11801 S. Freeway, Fort Worth, TX 76134 | 2006-04-18 |
| Find all providers in zip 76134 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164913752 | Chelsea Lajuan Whitehead | Clinic/Center | 237 Hallbrook Dr, Fort Worth, TX 76134-3931 | 2018-05-20 |
| 1316497118 | G Roberts Adult Day Care | Clinic/Center | 150 S Beach St # A, Fort Worth, TX 76105-1162 | 2016-10-05 |
| 1669737912 | Trinity River Adult Daycare Center, Inc. | Clinic/Center | 401 N Riverside Dr, Fort Worth, TX 76111 | 2012-07-11 |
| 1508123498 | Five Star Adult Day Care | Clinic/Center | 4401 Foard St, Fort Worth, TX 76119-3305 | 2012-04-16 |
| 1861709594 | Southside Adult Daycare Center, Inc. | Clinic/Center | 1700 South Fwy, Fort Worth, TX 76104-5078 | 2010-09-01 |
| 1659555738 | Northside Adult Daycare Center, Inc. | Clinic/Center | 1401 Clinton Ave, Fort Worth, TX 76106 | 2007-12-24 |
| 1922287655 | D. B. Montgomery Choice, LLC | Clinic/Center | 4131 Hardeman St, Fort Worth, TX 76119-3636 | 2007-10-30 |
| 1730593476 | Pci Adult Daycare, LLC | Clinic/Center | 6050 Harris Pkwy, Fort Worth, TX 76132-4102 | 2014-06-19 |
| 1619231974 | Heritage East Adult Daycare Center, Inc. | Clinic/Center | 150 S Beach St, Fort Worth, TX 76105-1162 | 2012-07-01 |
| 1194912352 | Heritage Adult Day Health Services, Inc. | Clinic/Center | 150 S Beach St, Suite A, Fort Worth, TX 76105-1162 | 2007-10-01 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76134 |
Please comment or provide details below to improve the information on DAVID LEON MIMS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.