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1871502716

NPI Code Detail

MEDICARE: TAMARA D SIMPSON MD

MEDICARE: TAMARA D SIMPSON MD

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
1	207R00000X	Internal Medicine Physician	L9485	TX
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	L9485	TX
3	207RP1001X	Pulmonary Disease Physician	L9485	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8H4106	OTHER	TX	BLUE CROSS BLUE SHIELD
3	169107304	OTHER		CSHCN

General Provider Information

NPI Number	:	1871502716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMARA D SIMPSON MD

Provider Business Mailing Address
First Line	:	12446 WEST AVE STE 200
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-2530
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12446 WEST AVE STE 200
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-2530
Country	:	US
Telephone Number	:	210-257-1400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	08/31/2022

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Directions to “ TAMARA D SIMPSON MD” Practice Location

Language	Start Address	Practice Location

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