MEDICARE: SIMONE STALLING MD PHD PLLC

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	207N00000X	Dermatology Physician		TX

General Provider Information

NPI Number	:	1730668567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIMONE STALLING MD PHD PLLC

Provider Business Mailing Address
First Line	:	915 GESSNER RD STE 500
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2568
Country	:	US
Telephone Number	:	713-468-0303
Fax Number	:

Provider Business Practice Location Address
First Line	:	915 GESSNER RD STE 500
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2568
Country	:	US
Telephone Number	:	713-468-0303
Fax Number	:	713-468-0307

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. SIMONE SUZETTE STALLING
Credential	:	MD, PHD
Telephone Number	:	713-468-0303

Provider Enumeration Date	:	08/13/2018
Last Update Date	:	01/04/2023

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