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Individual

DR. TROY D. SIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 SCOTT AND WHITE DR, COLLEGE STATION, TX 77845-6440
(979) 207-4000
(979) 207-4562
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
J6727
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
040017502
RR/MEDICARE
TX
05
1514440-01
TX
01
1514440-03
CSHCN
TX
01
8F1193
BLUE SHIELD
TX
Enumeration date
04/03/2006
Last updated
10/27/2020
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