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General NPI Number Information
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NPI Number | 1881611762
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Entity Type | Organization
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Legal Business Name | SIMMONS WELLNESS PRODUCTS LLC
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 555 S SHORELINE BLVD STE.101
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City | CORPUS CHRISTI
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State | TX
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Zip | 78401-3506
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Country | US
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Telephone | 361-887-7300
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Fax | 361-887-7333
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Provider Business Mailing Address
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Address Line | 555 S SHORELINE BLVD STE.101
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City | CORPUS CHRISTI
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State | TX
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Zip | 78401-3506
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Country | US
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Telephone | 361-887-7300
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Fax | 361-887-7333
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BRYAN DAVID SIMMONS
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Credential |
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Telephone | 361-887-7300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State | TX
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