Individual
KYLE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDHS, IDEP
Contact information
Practice address
13411 HILLIARD ST, HOUSTON, TX 77034-5635
(281) 464-4611
(281) 464-4625
Mailing address
13411 HILLIARD ST, HOUSTON, TX 77034-5635
(281) 464-4611
(281) 464-4625
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
05/18/2022
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