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NPI Code Detail

MEDICARE: GARRETT L SIMMONS M.D.

MEDICARE: GARRETT L SIMMONS M.D.
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
12085R0202XDiagnostic Radiology PhysicianS1275TX
22085R0202XDiagnostic Radiology PhysicianME173275FL

General Provider Information

NPI Number : 1982047346
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARRETT L SIMMONS M.D.
Provider Business Mailing Address
First Line : 2123 WOODHEAD ST
Second Line :
City : HOUSTON
State : TX
Zip : 77019-6818
Country : US
Telephone Number : 512-431-9364
Fax Number :
Provider Business Practice Location Address
First Line : 6720 BERTNER AVE STE 2270
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2604
Country : US
Telephone Number : 713-861-7164
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2013
Last Update Date : 12/15/2025

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