Organization
INTERVENTIONAL CONSULTANTS OF TEXAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN SIMMONS DO (MANAGER)
(817) 294-0934
Entity
Organization
Contact information
Practice address
7148 TRAIL LAKE DR, ATTENTION: STEVEN SIMMONS, DO, FORT WORTH, TX 76123-1969
(817) 294-0934
Mailing address
7148 TRAIL LAKE DR, ATTENTION: STEVEN SIMMONS, DO, FORT WORTH, TX 76123-1969
(817) 294-0934
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
L3128
TX
Other
Enumeration date
06/23/2013
Last updated
06/23/2013
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