# SIMMONS WELLNESS PRODUCTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881611762
- **Authorized official:** MR. BRYAN DAVID SIMMONS (PRESIDENT)
- **Authorized official phone:** (361) 887-7300

## Contact information

- **Practice address:** 555 S SHORELINE BLVD, STE.101, CORPUS CHRISTI, TX 78401-3506
- **Practice address phone:** (361) 887-7300
- **Practice address fax:** (361) 887-7333
- **Mailing address:** 555 S SHORELINE BLVD, STE.101, CORPUS CHRISTI, TX 78401-3506
- **Mailing address phone:** (361) 887-7300
- **Mailing address fax:** (361) 887-7333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | — | TX | — |
| 171WH0202X | Home Modifications Contractor | — | TX | — |
| 172A00000X | Driver | — | TX | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | TX | — |
| 332BC3200X | Customized Equipment (DME) | — | TX | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | TX | — |
| 347C00000X | Private Vehicle | — | TX | Yes |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 32018390115 | SALES AND USE TAX PERMIT | TX |