Individual
KIM SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6565 FANNIN ST, HOUSTON, TX 77030
(713) 441-4515
Mailing address
6565 FANNIN ST, HOUSTON, TX 77030
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP144956
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP144956
LICENSE NUMBER
TX
Enumeration date
02/06/2020
Last updated
06/07/2023
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