MEDICARE: DR. ALLAN CHRISTOPHER SIMPSON 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	207P00000X	Emergency Medicine Physician	N7877	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8DE374	OTHER	TX	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1619256062	OTHER	TX	TRICARE SOUTH

General Provider Information

NPI Number	:	1619256062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLAN CHRISTOPHER SIMPSON MD

Provider Business Mailing Address
First Line	:	522 HANCOCK AVE
Second Line	:	#432
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78404-2342
Country	:	US
Telephone Number	:	623-694-7231
Fax Number	:

Provider Business Practice Location Address
First Line	:	522 HANCOCK AVE
Second Line	:	#432
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78404-2342
Country	:	US
Telephone Number	:	623-694-7231
Fax Number	:

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

Provider Enumeration Date	:	08/16/2011
Last Update Date	:	06/28/2013

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