Individual
DR. MARK CHRISTOPHER SIMON
Active
Individual
DR. MARK CHRISTOPHER SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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