Organization
LIRIOS PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA LYNN SIMMONS MSN, RN-CPN (EXECUTIVE DIRECTOR)
(512) 502-5205
Entity
Organization
Contact information
Practice address
4201 S CONGRESS AVE STE 202, AUSTIN, TX 78745-1156
(512) 502-5205
Mailing address
4201 S CONGRESS AVE STE 202, AUSTIN, TX 78745-1156
(512) 502-5205
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225057060
—
TX
Enumeration date
09/26/2022
Last updated
09/26/2022
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