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Individual
TREVOR CALCOTE SIMPSON
Active
Individual
TREVOR CALCOTE SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP128710
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350274201
—
TX
01
—
8395UL
BCBS
TX
01
—
P01748544
RR MEDICARE
TX
Enumeration date
10/02/2015
Last updated
07/29/2020
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