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Individual

DIANE A EVERING-SIMMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
200 MEADOWBROOK DR, PECOS, TX 79772-6607
(432) 447-0565
(432) 447-0422
Mailing address
2323 TEXAS ST, PECOS, TX 79772-7338
(432) 447-0565
(432) 447-0422

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J5317
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
099318005
TX
Enumeration date
01/24/2007
Last updated
03/30/2012
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