Provider Demographics
NPI:1164570719
Name:SIMMONS, SABRENA (DC)
Entity Type:Individual
Prefix:MRS
First Name:SABRENA
Middle Name:
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8303 SOUTHWEST FWY STE 495
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1620
Mailing Address - Country:US
Mailing Address - Phone:713-771-5222
Mailing Address - Fax:713-771-8733
Practice Address - Street 1:8303 SOUTHWEST FWY STE 495
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1620
Practice Address - Country:US
Practice Address - Phone:713-771-5222
Practice Address - Fax:713-771-8733
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8646111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation