Organization
C WILTON SIMMONS JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLYDE WILTON SIMMONS JR. (CEO/OWNER)
(713) 932-6467
Entity
Organization
Contact information
Practice address
902 FROSTWOOD DR, SUITE 244, HOUSTON, TX 77024-2420
(713) 932-6467
(713) 932-0647
Mailing address
902 FROSTWOOD DR, SUITE 244, HOUSTON, TX 77024-2420
(713) 932-6467
(713) 932-0647
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
D7303
TX
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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