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NPI Code Detail

MEDICARE: JERALD HOWARD SIMMONS MD

MEDICARE:   JERALD HOWARD SIMMONS  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
12084N0400XNeurology PhysicianK7614TX
22084N0600XClinical Neurophysiology PhysicianK7614TX
32084S0012XSleep Medicine (Psychiatry & Neurology) PhysicianK7614TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417045329
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERALD HOWARD SIMMONS MD
Provider Business Mailing Address
First Line : PO BOX 16820
Second Line :
City : SUGAR LAND
State : TX
Zip : 77496-6820
Country : US
Telephone Number : 281-240-3773
Fax Number : 281-239-6268
Provider Business Practice Location Address
First Line : 2201 W HOLCOMBE BLVD
Second Line : STE 325
City : HOUSTON
State : TX
Zip : 77030-2096
Country : US
Telephone Number : 713-668-4100
Fax Number : 713-668-4105
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2006
Last Update Date : 08/24/2015

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