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Individual

ALAN RAMON SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
277 W GRAY ST, HOUSTON, TX 77019-5419
(713) 529-3597
(713) 529-9169
Mailing address
277 W GRAY ST, HOUSTON, TX 77019-5419
(713) 529-3597
(713) 529-9169

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19218
TX
1223E0200X
Endodontics
19218TT
TX
1223G0001X
General Practice Dentistry
19218
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007937801
TX
Enumeration date
09/25/2006
Last updated
11/22/2019
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