Thomas Clark Simon JR. ATP,CRTS

NPI 1053692921 - Technician, Other - 247200000X

NPI Details
NPI 1053692921
Gender Male
Enumeration Date 09/06/2011
Last Updated 09/06/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
2601 W MOCKINGBIRD LN
#101
DALLAS TX, 75235-5630, US
Phone (214) 951-9710
Fax (214) 951-9720
Business Location
2601 W MOCKINGBIRD LN
#101
DALLAS TX, 75235-5630, US
Phone (214) 951-9710
Fax (214) 951-9720
Toxanomy
Taxonomy Code 247200000X
License State Texas
License Number 1008601
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According to our database, Mr. Thomas Clark Simon JR. ATP,CRTS NPI is 1053692921, taxonomy code is 247200000X and license number is 1008601, license state is located at Texas. Thomas Clark Simon JR. ATP,CRTS physically located at 2601 W Mockingbird Ln, Dallas TX, 75235-5630. NPI Number Thomas Clark Simon JR. ATP,CRTS has the Individual type.

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1053692921 NPI number is provided on an as is basis without warranty of any kind. 1053692921 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Clark Simon JR. ATP,CRTS are for informational purposes only.