Organization
E. WAYNE SIMMONS, D.M.D., PROSTHODONTIST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. E. WAYNE SIMMONS D.M.D. (PRESIDENT)
(210) 692-0136
Entity
Organization
Contact information
Practice address
2020 BABCOCK RD, SUITE 24, SAN ANTONIO, TX 78229-4443
(210) 692-0136
(210) 692-0139
Mailing address
2020 BABCOCK RD, BOX 25, SAN ANTONIO, TX 78229-4443
(210) 692-0136
(210) 692-0139
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
10836
TX
1223P0700X
Prosthodontics
1864
SC
1223P0700X
Prosthodontics
Primary
22075
TX
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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