Healthcare Provider Details

I. General information

NPI: 1982047346
Provider Name (Legal Business Name): GARRETT L SIMMONS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2013
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6720 BERTNER AVE STE 2270
HOUSTON TX
77030-2604
US

IV. Provider business mailing address

2123 WOODHEAD ST
HOUSTON TX
77019-6818
US

V. Phone/Fax

Practice location:
  • Phone: 713-861-7164
  • Fax:
Mailing address:
  • Phone: 512-431-9364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberS1275
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME173275
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: