C WILTON SIMMONS JR MD PA NPI 1306105481

NPI Information

  • NPI: 1306105481
  • Provider Name: C WILTON SIMMONS JR MD PA
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Organization
  • Address: 902 FROSTWOOD DR
    SUITE 244
    HOUSTON, TX
    ZIP 77024
  • Phone: (713) 932-6467

Map and Directions

Get Directions

NPI Details

C WILTON SIMMONS JR MD PA is a plastic surgery in Houston, TX. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. C WILTON SIMMONS JR MD PA NPI is 1306105481. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

902 FROSTWOOD DR
SUITE 244
HOUSTON, TX
ZIP 77024-420
Phone: (713) 932-6467
Fax: (713) 932-0647

The provider's authorized official is Clyde Wilton Simmons .
The authorized official title is Ceo/owner and has the following contact phone number (713) 932-6467.

The enumeration date for this NPI number is 5/10/2012 and was last updated on 5/10/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic SurgeryD7303TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100L598MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI