Provider Demographics
NPI:1619256062
Name:SIMPSON, ALLAN CHRISTOPHER (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:CHRISTOPHER
Last Name:SIMPSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 HANCOCK AVE
Mailing Address - Street 2:#432
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-2342
Mailing Address - Country:US
Mailing Address - Phone:623-694-7231
Mailing Address - Fax:
Practice Address - Street 1:522 HANCOCK AVE
Practice Address - Street 2:#432
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-2342
Practice Address - Country:US
Practice Address - Phone:623-694-7231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-16
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN7877207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX295635102Medicaid
TX8DE374OtherBCBS
TX295635101Medicaid
TX1619256062OtherTRICARE SOUTH
TX295635102Medicaid
TX295635101Medicaid
TXP01120808Medicare PIN