Individual
MARIA VALERIA SIMONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1545 E SOUTHLAKE BLVD, SUITE 140, SOUTHLAKE, TX 76092-6422
(817) 748-0200
(817) 749-0204
Mailing address
1545 E SOUTHLAKE BLVD, SUITE 140, SOUTHLAKE, TX 76092-6422
(817) 748-0200
(817) 749-0204
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
Q7602
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3203798
—
NY
Enumeration date
12/30/2009
Last updated
04/18/2017
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