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Individual

DR. STEVEN LEE SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
7148 TRAIL LAKE DR, FORT WORTH, TX 76123-1969
(817) 294-0934
Mailing address
7148 TRAIL LAKE DR, FORT WORTH, TX 76123-1969
(817) 294-0934

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
L3128
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
L3128
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
L3128
TX

Other

Enumeration date
10/18/2005
Last updated
12/02/2013
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