KYLE SIMMONS IDHS, IDEP - NPI 1801539424 - Military Health Care Provider in Houston, TX

Q: What is the provider's specialty?

The provider's specialty is Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.

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About Kyle Simmons Idhs, Idep NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE SIMMONS IDHS, IDEP (NPI 1801539424) is an individual independent duty corpsman provider in Houston, Texas and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1801539424

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameKYLE SIMMONSCredential: IDHS, IDEP

Location Address13411 HILLIARD STHouston, TX 77034-5635

Mailing Address13411 Hilliard StHouston, TX 77034-5635 · (281) 464-4611 · Fax (281) 464-4625

Phone(281) 464-4611

Fax(281) 464-4625

Sole ProprietorNo

Enumeration DateApril 20, 2022

Last NPPES UpdateMay 18, 20222 updates tracked since enumeration

NPPES CertifiedMay 18, 2022

✔ NPI 1801539424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

13411 HILLIARD ST, Houston, TX 77034

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