Individual
SIMONE WILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2101 NASA PKWY, MAIL STOP SD22, HOUSTON, TX 77058-3607
(713) 442-0000
Mailing address
2101 NASA PKWY, HOUSTON, TX 77058-3607
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
L2056
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145743401
—
TX
05
—
145743402
—
TX
05
—
145743403
—
TX
Enumeration date
10/05/2006
Last updated
05/08/2008
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