Individual
EDITH M SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
321 W BEN WHITE BLVD, STE 205, AUSTIN, TX 78704-7087
(512) 451-5800
(512) 459-1399
Mailing address
408 W 45TH ST, AUSTIN, TX 78751-3014
(512) 451-5800
(512) 459-1399
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
L9483
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170593103
—
TX
Enumeration date
06/14/2006
Last updated
07/17/2015
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