Basic Information
Provider Information
NPI: 1689837015
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SIMONI
FirstName: CATON
MiddleName: LEIGH
NamePrefix: MRS.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 545 CREEKSIDE XING STE 106
Address2:  
City: NEW BRAUNFELS
State: TX
PostalCode: 781304274
CountryCode: US
TelephoneNumber: 8303875270
FaxNumber:  
Practice Location
Address1: 11101 HEFNER POINTE DR STE 211
Address2:  
City: OKLAHOMA CITY
State: OK
PostalCode: 731205046
CountryCode: US
TelephoneNumber: 4059361000
FaxNumber: 4059361001
Other Information
ProviderEnumerationDate: 07/07/2008
LastUpdateDate: 05/20/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/20/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XVAD000GAN Allopathic & Osteopathic PhysiciansFamily Medicine 
207V00000X063073GAN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000XT2754TXY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


Home