NPI 1144577974

Chelsea Nicole Simmons, COTAL

Practitioner Contractor Irving, TX

Practice location

Address: 5001 Statesman Dr, Irving, TX 75063-2414
Phone: (469) 524-1506

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence OTA11824 (FL)

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Registry record

NPI: 1144577974
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Aug 2012
Record last updated: 10 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.