Individual
MR. PHILLIP RAY SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
902 MILAM ST, TEXARKANA, TX 75501-4735
(903) 793-5484
Mailing address
902 MILAM ST, TEXARKANA, TX 75501-4735
(903) 793-5484
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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