Organization
PHYSICIAN INJURY CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN SIMMONS (MANAGER)
(817) 294-0934
Entity
Organization
Contact information
Practice address
7148 TRAIL LAKE DR, FORT WORTH, TX 76123-1969
(817) 294-0934
Mailing address
7148 TRAIL LAKE DR, FORT WORTH, TX 76123-1969
(817) 294-0934
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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