Provider Demographics
NPI:1720469968
Name:SIMPSON, SAMUEL THOMAS (MD)
Entity Type:Individual
Prefix:
First Name:SAMUEL
Middle Name:THOMAS
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 1:7959 BROADWAY STE 400
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-2670
Mailing Address - Country:US
Mailing Address - Phone:210-231-0506
Mailing Address - Fax:210-802-0186
Practice Address - Street 1:7959 BROADWAY STE 400
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-2670
Practice Address - Country:US
Practice Address - Phone:210-231-0506
Practice Address - Fax:210-802-0186
Is Sole Proprietor?:No
Enumeration Date:2015-06-13
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR6099207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine