DAVID LEON MIMS

FORT WORTH, TX
NPI1720515059
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QA0600X Clinic/Center, Adult Day Care
Enumeration Date2017-05-17
Last Update Date2018-06-16
Business Address
DAVID LEON MIMS
1412 ROMA LN
FORT WORTH, TX 76134-2304
Phone number: 682-583-4545
Mailing Address
DAVID LEON MIMS
1412 ROMA LN
FORT WORTH, TX 76134-2304
Phone number: