Individual
TAMARA D SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12446 WEST AVE STE 200, SAN ANTONIO, TX 78216-2530
(210) 257-1400
Mailing address
12446 WEST AVE STE 200, SAN ANTONIO, TX 78216-2530
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L9485
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
L9485
TX
207RP1001X
Pulmonary Disease Physician
Primary
L9485
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169107303
—
TX
01
—
169107304
CSHCN
—
01
—
8H4106
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/07/2006
Last updated
08/31/2022
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