Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | M2810 | TX |
N | 111NI0900X | Internist | M2810 | TX |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | M2810 | TX |
N | 207RC0000X | Internist - Cardiovascular Disease | M2810 | TX |
N | 207RI0011X | Interventional Cardiology | M2810 | TX |
NPI | 1922019967 |
---|---|
Provider Name | Leo Simpson |
First Address | Houston, TX 77004-6937 |
Second Address | Houston, TX 77004-6937 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2006 |
Last Update Date | 04/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8CH263 | BCBS (01) | TX |