Individual
ROBERT B SIMONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1441 N BECKLEY AVE, MMC DALLAS, DALLAS, TX 75203
(214) 942-5733
(214) 942-6115
Mailing address
4040 N CENTRAL EXPY, #600, DALLAS, TX 75204-3147
(214) 520-5743
(214) 520-5786
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G0121
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133941802
—
TX
01
—
82951F
BLUE CROSS-BLUE SHIELD
TX
Enumeration date
08/08/2006
Last updated
01/09/2013
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