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NPI Code Detail

MEDICARE: MRS. BOBBIE J. SIMLIN N.P.

MEDICARE: MRS. BOBBIE J. SIMLIN N.P.
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
1363LF0000XFamily Nurse Practitioner238171TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2D07564OTHERTXMEDICARE RR PALMETTO
3DQ5280OTHERTXMEDICARE RR PALMETTO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922296003
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BOBBIE J. SIMLIN N.P.
Provider Business Mailing Address
First Line : 850 CENTRAL PKWY E
Second Line : 275
City : PLANO
State : TX
Zip : 75074-5561
Country : US
Telephone Number : 972-668-5400
Fax Number :
Provider Business Practice Location Address
First Line : 850 CENTRAL PKWY E
Second Line : 275
City : PLANO
State : TX
Zip : 75074-5561
Country : US
Telephone Number : 972-668-5400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2007
Last Update Date : 01/23/2014

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