Individual
MR. SIMON TERRY CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDCI
Contact information
Practice address
200 CORPORATE DR, MIDLAND, TX 79705-4621
(432) 618-0028
(432) 620-8220
Mailing address
501 STAGHORN DR, ODESSA, TX 79765-2595
(432) 813-9983
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61202
TX
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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