Individual
MRS. BOBBIE J. SIMLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
850 CENTRAL PKWY E, 275, PLANO, TX 75074-5561
(972) 668-5400
Mailing address
850 CENTRAL PKWY E, 275, PLANO, TX 75074-5561
(972) 668-5400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
238171
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206105301
—
VA
05
—
206105302
—
TX
01
—
D07564
MEDICARE RR PALMETTO
TX
01
—
DQ5280
MEDICARE RR PALMETTO
TX
Enumeration date
10/14/2007
Last updated
01/23/2014
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