Healthcare Provider Details

I. General information

NPI: 1528242898
Provider Name (Legal Business Name): WARREN W. SIMI, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2007
Last Update Date: 12/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4126 SOUTHWEST FWY SUITE 400
HOUSTON TX
77027-7310
US

IV. Provider business mailing address

4126 SOUTHWEST FWY SUITE 400
HOUSTON TX
77027-7310
US

V. Phone/Fax

Practice location:
  • Phone: 713-479-1100
  • Fax: 713-622-6910
Mailing address:
  • Phone: 713-479-1100
  • Fax: 713-622-6910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberD9661
License Number StateTX

VIII. Authorized Official

Name: DR. WARREN WILLIAM SIMI
Title or Position: PRESIDENT/OWNER
Credential: M. D.
Phone: 713-479-1100