Simmons, Gary Edward

Simmons, Gary Edward is an individual health care provider with primary practice located at 4005 24Th St , Lubbock TX 79410-1835. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Simmons, Gary Edward can be contacted via phone (806) 792-2767.

Contact Information

Primary practice address
4005 24Th St Lubbock TX 79410-1835
Phone: (806) 792-2767
Fax: (888) 861-8858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X L1748 Texas
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X L1748 Texas

Profile Details

NPI number 1265438691
LBN Legal business name Simmons, Gary Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Feb 22nd, 2022 - about 4 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 1265438691 NPPES
Texas Other 8G1350 BLUE CROSS
Texas Other 1236695 BLUE CROSS
Texas MEDICAID 151630401 BLUE CROSS
Texas Other 300132403 BLUE CROSS
Texas MEDICAID 26050561 BLUE CROSS
Texas Other 128599100 BLUE CROSS

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