Provider Demographics
NPI:1790903524
Name:SIMON, CAROLINE JOSEPHINE (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:JOSEPHINE
Last Name:SIMON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 FANNIN STREET
Mailing Address - Street 2:SMITH TOWER, SUITE 1601
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2717
Mailing Address - Country:US
Mailing Address - Phone:713-441-5133
Mailing Address - Fax:
Practice Address - Street 1:6550 FANNIN ST STE 1601
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2743
Practice Address - Country:US
Practice Address - Phone:713-441-5133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA246669204F00000X, 208600000X, 2086X0206X
TXT9248204F00000X, 2086X0206X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology