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Individual

DR. MARK CHRISTOPHER SIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
222151
MA
207L00000X
Anesthesiology Physician
Primary
M7631
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
196824001
TX
01
8AC771
BLUE CROSS PROVIDER ID
TX
01
P00708271
RAILROAD MEDICARE
TX
Enumeration date
12/04/2006
Last updated
05/13/2022
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