Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 56488 | CT |
Y | 207VE0102X | Reproductive Endocrinologist | 01074866A | IN |
NPI | 1326481433 |
---|---|
Provider Name | Dr. Samantha Gayle Simpson |
First Address | Jbsa Ft Sam Houston, TX 78234-4504 |
Second Address | Jbsa Ft Sam Houston, TX 78234-4504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2013 |
Last Update Date | 11/08/2020 |