Individual
MR. JOE LOUIS SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
4735 E LANCASTER AVE, FORT WORTH, TX 76103-3835
(817) 413-0545
(817) 413-0570
Mailing address
4735 E LANCASTER AVE, FORT WORTH, TX 76103-3835
(817) 413-0545
(817) 413-0570
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
28297
TX
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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