Simon, Blaire Michelle

Simon, Blaire Michelle is an individual health care provider with primary practice located at 22001 Southwest Fwy Ste 200 , Richmond TX 77469-7002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Simon, Blaire Michelle can be contacted via phone (832) 595-7700.

Contact Information

Primary practice address
22001 Southwest Fwy Ste 200 Richmond TX 77469-7002
Phone: (832) 595-7700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10135 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1053780940
LBN Legal business name Simon, Blaire Michelle
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2015
Last updated Sep 24th, 2020 - about 6 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 1053780940 NPPES
Texas Other PA10135 PA LICENSE

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