Individual
TYSON DEXTER SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNPC-AG
Contact information
Practice address
2806 REAL ST, AUSTIN, TX 78722-1715
(512) 978-8130
Mailing address
1111 E CESAR CHAVEZ ST, AUSTIN, TX 78702-4209
(512) 978-8130
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1008991
TX
Other
Enumeration date
01/15/2021
Last updated
07/14/2026
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