Individual
DANE D SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 AVENUE G, BAY CITY, TX 77414-3541
(979) 245-5721
(979) 245-1482
Mailing address
1120 AVENUE G, BAY CITY, TX 77414-3541
(979) 245-5721
(979) 245-1482
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
J2334
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127045601
—
TX
Enumeration date
07/26/2005
Last updated
06/18/2010
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