Individual
JIM W SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6000 ELDORADO PKWY, APT 913, FRISCO, TX 75033-3573
(816) 810-3820
Mailing address
6000 ELDORADO PKWY, APT 913, FRISCO, TX 75033-3573
(816) 810-3820
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
069978
MO
367500000X
Certified Registered Nurse Anesthetist
249
AK
367500000X
Certified Registered Nurse Anesthetist
AP128118
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609834126
—
MO
Enumeration date
05/03/2006
Last updated
11/08/2016
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