Provider Demographics
NPI: | 1326425240 |
---|---|
Name: | SIMPSON, GATOYA LASHA (MD) |
Entity type: | Individual |
Prefix: | |
First Name: | GATOYA |
Middle Name: | LASHA |
Last Name: | SIMPSON |
Suffix: | |
Gender: | F |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | GATOYA |
Other - Middle Name: | LASHA |
Other - Last Name: | JONES |
Other - Suffix: | |
Other - Last Name Type: | Former Name |
Other - Credentials: | MD |
Mailing Address - Street 1: | PO BOX 57781 |
Mailing Address - Street 2: | |
Mailing Address - City: | WEBSTER |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77598-7781 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 832-916-2075 |
Mailing Address - Fax: | 832-916-2480 |
Practice Address - Street 1: | 13009 GULF COMMERCE DR STE 200 |
Practice Address - Street 2: | |
Practice Address - City: | HOUSTON |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77034-1576 |
Practice Address - Country: | US |
Practice Address - Phone: | 832-916-2075 |
Practice Address - Fax: | 832-916-2480 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2015-04-29 |
Last Update Date: | 2024-10-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | S2680 | 207L00000X, 207LP2900X, 208VP0000X |
TX | BP10053383 | 207L00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 208VP0000X | Allopathic & Osteopathic Physicians | Pain Medicine | Pain Medicine |
No | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | |
No | 207LP2900X | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine |