Individual
DR. JOHN CALEB SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3816 S 1ST ST, AUSTIN, TX 78704-7048
(512) 443-1311
(512) 406-6266
Mailing address
6210 E HIGHWAY 290 STE 240, AUSTIN, TX 78723-1144
(512) 483-9569
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
BP10039761
TX
207Y00000X
Otolaryngology Physician
Primary
Q7965
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360710305
—
TX
05
—
360710306
—
TX
Enumeration date
09/15/2011
Last updated
01/07/2025
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