=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437531118
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CARNAI SIMPSON M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/18/2015
-----------------------------------------------------
Last Update Date | 04/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7821 FM 1960 RD E
-----------------------------------------------------
City | HUMBLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77346-2205
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-966-3376
-----------------------------------------------------
Fax | 855-227-3506
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 18980 W MEMORIAL DR STE 100
-----------------------------------------------------
City | HUMBLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77338-4559
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-644-8930
-----------------------------------------------------
Fax | 855-227-3506
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | BP10053386
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | R8990
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------