Individual
MR. THOMAS CLARK SIMON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATP,CRTS
Contact information
Practice address
2601 W MOCKINGBIRD LN, #101, DALLAS, TX 75235-5630
(214) 951-9710
(214) 951-9720
Mailing address
2601 W MOCKINGBIRD LN, #101, DALLAS, TX 75235-5630
(214) 951-9710
(214) 951-9720
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
1008601
TX
247200000X
Other Technician
Primary
ATP4344
TX
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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