Provider Demographics
NPI:1265765267
Name:MICHAEL H. SIMPSON, M.D., P.A.
Entity type:Organization
Organization Name:MICHAEL H. SIMPSON, M.D., P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:HOMER
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-544-3254
Mailing Address - Street 1:1700 MURCHISON DR
Mailing Address - Street 2:SUITE 215
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-2918
Mailing Address - Country:US
Mailing Address - Phone:915-544-3254
Mailing Address - Fax:915-544-1203
Practice Address - Street 1:1700 MURCHISON DR
Practice Address - Street 2:SUITE 215
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-2918
Practice Address - Country:US
Practice Address - Phone:915-544-3254
Practice Address - Fax:915-544-1203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-09
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA04181174400000X
TXD1052174400000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8J7190OtherUPIN
TX00T86CMedicare PIN
TX00J933Medicare PIN