Individual
DR. JUSTIN S. SIMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Mailing address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
22767
ND
2085R0202X
Diagnostic Radiology Physician
Primary
ME107009
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002174200
—
FL
01
—
148F5
BCBS OF FLORIDA
FL
01
—
676105093C
GA MEDICAID
FL
01
—
P00851142
RR MEDICARE
FL
Enumeration date
11/24/2006
Last updated
11/25/2025
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