Provider Demographics
NPI:1063212991
Name:SIMMONS, ALANA C
Entity type:Individual
Prefix:
First Name:ALANA
Middle Name:C
Last Name:SIMMONS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3506 TINA ST
Mailing Address - Street 2:
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-3168
Mailing Address - Country:US
Mailing Address - Phone:214-416-2674
Mailing Address - Fax:
Practice Address - Street 1:3506 TINA ST
Practice Address - Street 2:
Practice Address - City:SACHSE
Practice Address - State:TX
Practice Address - Zip Code:75048-3168
Practice Address - Country:US
Practice Address - Phone:214-416-2674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX992485209251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health