Provider Demographics
NPI:1659460269
Name:SIMPSON, GEORGE ALFONSO JR (PHYSICIANS ASSISTANT)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:ALFONSO
Last Name:SIMPSON
Suffix:JR
Gender:M
Credentials:PHYSICIANS ASSISTANT
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Mailing Address - Street 1:5600 S WILLOW DR STE 101
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-4721
Mailing Address - Country:US
Mailing Address - Phone:713-729-5934
Mailing Address - Fax:713-729-5945
Practice Address - Street 1:5600 S WILLOW DR STE 101
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-4721
Practice Address - Country:US
Practice Address - Phone:713-729-5934
Practice Address - Fax:713-729-5945
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2013-07-19
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Provider Licenses
StateLicense IDTaxonomies
TXPA01617363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXS25692Medicare UPIN