Provider Demographics
NPI:1083369987
Name:SIMMONS, RICHARD HOBSON (APRN)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:HOBSON
Last Name:SIMMONS
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16305 DE LOZIER ST
Mailing Address - Street 2:
Mailing Address - City:JERSEY VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:77040-2051
Mailing Address - Country:US
Mailing Address - Phone:346-213-3773
Mailing Address - Fax:
Practice Address - Street 1:16305 DE LOZIER ST
Practice Address - Street 2:
Practice Address - City:JERSEY VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:77040-2051
Practice Address - Country:US
Practice Address - Phone:346-213-3773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1064078363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty