Individual
ROSE S SIMONIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2200 EPHRIHAM AVE, FORT WORTH, TX 76164-6642
(817) 702-6500
(817) 702-8670
Mailing address
PO BOX 732973, DALLAS, TX 75373-2973
(817) 702-8450
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M2108
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180857804
—
TX
01
—
8AA713
BCBS
TX
Enumeration date
06/17/2006
Last updated
11/15/2018
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