Provider Demographics
NPI:1982916862
Name:SIMON, SILVI M (MD)
Entity Type:Individual
Prefix:
First Name:SILVI
Middle Name:M
Last Name:SIMON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3571 W WHEATLAND RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-3461
Mailing Address - Country:US
Mailing Address - Phone:972-274-5555
Mailing Address - Fax:972-274-5663
Practice Address - Street 1:3571 W WHEATLAND RD
Practice Address - Street 2:SUITE 101
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-3461
Practice Address - Country:US
Practice Address - Phone:972-274-5555
Practice Address - Fax:972-274-5663
Is Sole Proprietor?:No
Enumeration Date:2010-07-08
Last Update Date:2015-12-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXQ3103207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX349292801Medicaid
TX429582YT1PMedicare PIN