| Dane D Simons Md Pa | |
|
1120 Avenue G Bay City TX 77414-3541 | |
| (979) 245-5721 | |
| (979) 245-1482 |
| Full Name | Dane D Simons Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1120 Avenue G, Bay City, Texas |
| Authorized Official Name and Position | Dane D Simons (OWNER) |
| Authorized Official Contact | 9792455721 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dane D Simons Md Pa 1120 Avenue G Bay City TX 77414-3541 Ph: (979) 245-5721 | Dane D Simons Md Pa 1120 Avenue G Bay City TX 77414-3541 Ph: (979) 245-5721 |
| NPI Number | 1174705784 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 12/05/2007 |
| Medicare PECOS PAC ID | 8921046053 |
|---|---|
| Medicare Enrollment ID | O20050420000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174705784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J2334 (Texas) | Primary |
| Provider Name | Dane D Simons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609876283 PECOS PAC ID: 6002854130 Enrollment ID: I20050420000266 |
| Provider Name | Kandace B Steffek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386024065 PECOS PAC ID: 9739494899 Enrollment ID: I20150818005654 |
| Provider Name | Thomas M Richey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700986494 PECOS PAC ID: 5799749701 Enrollment ID: I20190930001066 |
| Provider Name | Courtney Ann Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508402108 PECOS PAC ID: 3577991165 Enrollment ID: I20200313000830 |
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