Individual
ROBERTA S SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3600 GASTON AVE, SUITE 705 BARNETT, DALLAS, TX 75246-1800
(214) 821-0820
(214) 826-8430
Mailing address
3600 GASTON AVE, SUITE 705 BARNETT, DALLAS, TX 75246-1800
(214) 821-0820
(214) 826-8430
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
E3453
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
841582
BCBS
TX
Enumeration date
09/24/2006
Last updated
07/08/2007
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