Willingham, Simone
Willingham, Simone is an individual health care provider with primary practice located at 2101 Nasa Pkwy Mail Stop Sd22, Houston TX 77058-3607. She recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as her primary health care specialty. Willingham, Simone can be contacted via phone (713) 442-0000.Contact Information
Primary practice address
2101 Nasa Pkwy Mail Stop Sd22
Houston TX 77058-3607
Phone: (713) 442-0000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | L2056 | Texas |
Profile Details
| NPI number | 1922194117 |
|---|---|
| LBN Legal business name | Willingham, Simone |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | May 8th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922194117 | NPPES |
| Texas | MEDICAID | 145743401 | |
| Texas | MEDICAID | 145743403 | |
| Texas | MEDICAID | 145743402 |
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