Simmons, Edith M

Simmons, Edith M is an individual health care provider with primary practice located at 321 W Ben White Blvd Ste 205, Austin TX 78704-7087. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Simmons, Edith M can be contacted via phone (512) 451-5800.

Contact Information

Primary practice address
321 W Ben White Blvd Ste 205 Austin TX 78704-7087
Fax: (512) 459-1399
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X L9483 Texas

Profile Details

NPI number 1639112683
LBN Legal business name Simmons, Edith M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 17th, 2015 - about 10 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 1639112683 NPPES
Texas MEDICAID 170593103

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