Individual
MATTHIAS SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
11481 TOEPPERWEIN RD STE 1202, LIVE OAK, TX 78233-3146
(210) 655-8470
(210) 967-0276
Mailing address
16620 N US HIGHWAY 281 STE 300, SAN ANTONIO, TX 78232-2679
(210) 614-1231
(210) 499-0811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01061565A
IN
207RN0300X
Nephrology Physician
Primary
M5509
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00414U
GROUP PTAN
TX
05
—
192929103
—
TX
Enumeration date
10/03/2006
Last updated
07/03/2025
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