Individual
DR. MICHAEL DUANE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W 4TH ST, ODESSA, TX 79761-5001
(432) 640-1189
Mailing address
2941 BAINBRIDGE DR, ODESSA, TX 79762-5171
(432) 559-2933
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D7684
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D7684
ALLOPATHIC PHYSICIAN LIC
TX
Enumeration date
08/09/2006
Last updated
07/08/2007
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