Simmons, Bryan D.

Simmons, Bryan D. is an sole proprietor health care provider with primary practice located at 555 S Shoreline Blvd Suite 101, Corpus Christi TX 78401-3552. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Home Modifications, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Suppliers / Customized Equipment is his primary health care specialty. Simmons, Bryan D. can be contacted via phone (361) 887-9456.

Contact Information

Primary practice address
555 S Shoreline Blvd Suite 101 Corpus Christi TX 78401-3552
Phone: (361) 887-9456
Fax: (361) 887-7300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X 0053646 Texas
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0053646 Texas
Suppliers / Customized Equipment 332BC3200X 0053646 Texas
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X 0053646 Texas

Profile Details

NPI number 1174550149
LBN Legal business name Simmons, Bryan D.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2006
Last updated May 25th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174550149 NPPES
Texas MEDICAID 154894302
Texas MEDICAID 154894303
Texas MEDICAID 154894304
Texas MEDICAID 154894301

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