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NPI Code Detail

MEDICARE: ELIZABETH SIMON

MEDICARE: ELIZABETH SIMON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist122444TX

General Provider Information

NPI Number : 1457079436
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH SIMON
Provider Business Mailing Address
First Line : 1919 TAYLOR ST STE F
Second Line :
City : HOUSTON
State : TX
Zip : 77007-3973
Country : US
Telephone Number : 979-422-5678
Fax Number :
Provider Business Practice Location Address
First Line : 2310 RICHTON ST APT B
Second Line :
City : HOUSTON
State : TX
Zip : 77098-3282
Country : US
Telephone Number : 713-999-5358
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2022
Last Update Date : 09/19/2025

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