MEDICARE: WARREN WILLIAM SIMI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	D 9661	TX
2	207RP1001X	Pulmonary Disease Physician	D 9661	TX

General Provider Information

NPI Number	:	1255329561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WARREN WILLIAM SIMI MD

Provider Business Mailing Address
First Line	:	4126 SOUTHWEST FWY
Second Line	:	STE 400
City	:	HOUSTON
State	:	TX
Zip	:	77027-7310
Country	:	US
Telephone Number	:	713-479-1100
Fax Number	:	713-622-6910

Provider Business Practice Location Address
First Line	:	4126 SOUTHWEST FWY
Second Line	:	STE 400
City	:	HOUSTON
State	:	TX
Zip	:	77027-7310
Country	:	US
Telephone Number	:	713-479-1100
Fax Number	:	713-622-6910

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	12/11/2007

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