Provider Information for 1013407949
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CARL SIMPSON LPC
Sex: Male
NPI: 1013407949
Last Updated: 2018-05-16
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1013407949 | ||||||||
| Enumeration Date | 2018-05-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 17410 RUSTIC CANYON TRL HOUSTON, TX 77090-2033 United States Phone: 832-286-3527 | Fax: | ||||||||
| Primary Practice Address | 17410 RUSTIC CANYON TRL HOUSTON, TX 77090-2033 United States Phone: 832-286-3527 | Fax: | ||||||||
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