Simon, Joe

Simon, Joe is an sole proprietor health care provider with primary practice located at 5203 Lake Ridge Pkwy Ste 101 , Grand Prairie TX 75052-3017. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Simon, Joe can be contacted via phone (817) 633-9590.

Contact Information

Primary practice address
5203 Lake Ridge Pkwy Ste 101 Grand Prairie TX 75052-3017
Phone: (817) 633-9590
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X T0938 Texas

Profile Details

NPI number 1831696046
LBN Legal business name Simon, Joe
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2018
Last updated Sep 6th, 2021 - about 5 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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