Provider Demographics
NPI:1225577794
Name:SIMPSON, DENNIS PAUL II (CHLS)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:PAUL
Last Name:SIMPSON
Suffix:II
Gender:M
Credentials:CHLS
Other - Prefix:MR
Other - First Name:DITTY
Other - Middle Name:
Other - Last Name:SIMPSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CHLS
Mailing Address - Street 1:2401 W KIEST BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75233-2305
Mailing Address - Country:US
Mailing Address - Phone:214-403-2653
Mailing Address - Fax:
Practice Address - Street 1:2401 W KIEST BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75233-2305
Practice Address - Country:US
Practice Address - Phone:214-403-2653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-16
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6470151744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management