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NPI Code Detail

MEDICARE: CONNOR BYRNE SIMUTIS MD

MEDICARE: CONNOR BYRNE SIMUTIS 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 PhysicianV8401TX

General Provider Information

NPI Number : 1528687449
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONNOR BYRNE SIMUTIS MD
Provider Business Mailing Address
First Line : 16655 SOUTHWEST FWY
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-2329
Country : US
Telephone Number : 281-274-7000
Fax Number :
Provider Business Practice Location Address
First Line : 16655 SOUTHWEST FWY
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-2329
Country : US
Telephone Number : 281-274-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2020
Last Update Date : 06/02/2026

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