Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | J1041 | TX |
Y | 207RP1001X | Pulmonary Disease | J1041 | TX |
N | 207RS0012X | Sleep Medicine | 036.149472 | IL |
N | 207RS0012X | Sleep Medicine | J1041 | TX |
NPI | 1043206188 |
---|---|
Provider Name | James T Siminski |
First Address | Arlington, TX 76014-2075 |
Second Address | Hurst, TX 76054-3185 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2005 |
Last Update Date | 06/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
124086303 | (05) | TX |
F08585 | (02) |