Provider Demographics
NPI:1346362704
Name:SIMONSON, CURTIS STANLEY (DC)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:STANLEY
Last Name:SIMONSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12802 WAGON PASS
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4220
Mailing Address - Country:US
Mailing Address - Phone:210-771-0801
Mailing Address - Fax:
Practice Address - Street 1:12802 WAGON PASS
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-4220
Practice Address - Country:US
Practice Address - Phone:210-771-0801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7191111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor