Provider Demographics
NPI:1962408476
Name:NORRIS, SIMONE L (MD)
Entity type:Individual
Prefix:DR
First Name:SIMONE
Middle Name:L
Last Name:NORRIS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:333 N. SANTA ROSA
Mailing Address - Street 2:CENTER FOR CHILDREN & FAMILIES, SUITE 4703
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207
Mailing Address - Country:US
Mailing Address - Phone:210-704-2535
Mailing Address - Fax:210-704-2545
Practice Address - Street 1:333 N. SANTA ROSA
Practice Address - Street 2:CENTER FOR CHILDREN & FAMILIES, 4TH FLOOR
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207
Practice Address - Country:US
Practice Address - Phone:210-704-4140
Practice Address - Fax:210-704-4136
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ4396207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1345961OtherCIGNA
TX1410474-02OtherCSHCN MEDICAID
TX9194834OtherPRIVATE HEALTNCARE SYST
TX0064229OtherBLUELINK ACCESS
TX7129374OtherAETNA
TX8479K0OtherBCBS OF TEXAS
TX141047401Medicaid
TX2000997OtherFIRST HEALTH
TX742806531JOtherHUMANA
TX1410474-02OtherCSHCN MEDICAID
TX8479K0OtherBCBS OF TEXAS