Provider Demographics
NPI:1447295274
Name:ROSE S SIMANI MD PA
Entity type:Organization
Organization Name:ROSE S SIMANI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:S
Authorized Official - Last Name:SIMANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-373-5101
Mailing Address - Street 1:8345 WALNUT HILL LN
Mailing Address - Street 2:STE 250
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4209
Mailing Address - Country:US
Mailing Address - Phone:214-373-5101
Mailing Address - Fax:214-373-5184
Practice Address - Street 1:8345 WALNUT HILL LN
Practice Address - Street 2:STE 250
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4209
Practice Address - Country:US
Practice Address - Phone:214-373-5101
Practice Address - Fax:214-373-5184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2108207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8V2110OtherBCBSTX GROUP ID
TX00837ZMedicare ID - Type UnspecifiedMEDICARE GROUP ID