Individual
PATRICK MICHAEL SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6704 RANDOLPH BLVD, LIVE OAK, TX 78233-4222
(210) 477-5151
(210) 477-5152
Mailing address
12709 TOEPPERWEIN RD, SUITE 101, LIVE OAK, TX 78233-3258
(210) 477-5151
(210) 477-5152
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
46696
WI
207X00000X
Orthopaedic Surgery Physician
Primary
P1227
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309223102
—
TX
Enumeration date
09/27/2006
Last updated
07/14/2025
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