Individual
HEATHER L. SIMON
Active
Individual
HEATHER L. SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
L-224404
MA
207L00000X
Anesthesiology Physician
MD455804
PA
207L00000X
Anesthesiology Physician
Primary
N0047
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200470701
—
TX
01
—
8BH924
BLUE CROSS BLUE SHIELD
TX
01
—
P00732550
RAILROAD MEDICARE
TX
Enumeration date
02/26/2007
Last updated
08/13/2020
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