Provider Demographics
NPI:1477322030
Name:SIMMONS, CASHONDA
Entity Type:Individual
Prefix:MS
First Name:CASHONDA
Middle Name:
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12020 N GESSNER RD APT 5104
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-1251
Mailing Address - Country:US
Mailing Address - Phone:832-428-3778
Mailing Address - Fax:
Practice Address - Street 1:12020 N. GESSNER RD.
Practice Address - Street 2:5104
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064
Practice Address - Country:US
Practice Address - Phone:832-428-3778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-25
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX372600000X
343900000X, 343800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No372600000XNursing Service Related ProvidersAdult Companion
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)