Nathan Simonson
in San Antonio, TX. Individual provider (NPI-1).
NPI number1295545127
StatusActive
Last updated in NPPESJan 13, 2025
Details
- NPI
- 1295545127
- Entity type
- Individual (NPI-1)
- Name
- Nathan Simonson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 13, 2025
- Certification date
- Jan 13, 2025
- Last updated
- Jan 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Z00000X | 265 | TX | Yes |
Practice location
7400 Merton Minter StSan Antonio, TX 78229-4404
Phone 210-617-5300
Mailing address
28816 Stevenson GateBoerne, TX 78015-5099
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