Provider Information for 1124239793
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Mr. ROBERT MELVIN SIMON Jr. L.P.C.
Sex: Male
NPI: 1124239793
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1124239793 | ||||||||
| Enumeration Date | 2007-05-25 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4516 MAGNOLIA PINES DR PEARLAND, TX 77584-1702 United States Phone: 281-236-7332 | Fax: | ||||||||
| Primary Practice Address | 4516 MAGNOLIA PINES DR PEARLAND, TX 77584-1702 United States Phone: 281-236-7332 | Fax: | ||||||||
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