Organization
VALERIA SIMONE, MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA VALERIA SIMONE M.D. (PRESIDENT)
(786) 423-4567
Entity
Organization
Contact information
Practice address
1545 E SOUTHLAKE BLVD, SUITE 140, SOUTHLAKE, TX 76092-6422
(817) 748-0200
(817) 749-0204
Mailing address
1545 E SOUTHLAKE BLVD, SUITE 140, SOUTHLAKE, TX 76092-6422
(817) 748-0200
(817) 749-0204
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
Q7602
TX
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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