Healthcare Provider Details

I. General information

NPI: 1982916862
Provider Name (Legal Business Name): SILVI M SIMON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2010
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7999 W VIRGINIA DR STE A
DALLAS TX
75237-3845
US

IV. Provider business mailing address

7999 W VIRGINIA DR STE A
DALLAS TX
75237-3845
US

V. Phone/Fax

Practice location:
  • Phone: 972-274-5555
  • Fax: 972-274-5663
Mailing address:
  • Phone: 972-274-5555
  • Fax: 972-274-5663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberQ3103
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberQ3103
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: