Individual
MICHAEL L SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2606 HOSPITAL BLVD, CORPUS CHRISTI, TX 78405-1804
(361) 902-4000
(361) 902-4949
Mailing address
15365 KEY LARGO CT, CORPUS CHRISTI, TX 78418-6926
(361) 949-2466
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
691954
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82799U
BCBSTX
TX
Enumeration date
08/03/2006
Last updated
10/26/2007
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