| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | DONOVAN MITCHELL SIMMONS · Donovan M Simmons · Donovan M Simmons MD | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Donovan | [sources] | |||
| ID Number | MD417115 | [sources] | |||
| Last name | Simmons | [sources] | |||
| Middle name | M · MITCHELL | [sources] | |||
| NPI | 1922068733 | [sources] | |||
| Title | MD | [sources] | |||
| Position | GENERAL PRACTICE (PHYSICIAN (MD, DO)) | [sources] | |||
| Address | 3404 AMERICAN DR, #1113, LAGO VISTA, TX 78645 · LAGO VISTA, TX 78645, USA · Out of State, Out of State | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
A database of suppliers who have been excluded from participating in US federal procurement.
United States · GSA
People and companies excluded from Federally funded health care programs
United States · OIG
us-fed-excl-donovan-mitchell-simmons-78645-lago-vista · us-medpa-46a3e1652e663f3b30a9cc4e63c1a9abb39ba0b4 · us-medpa-e7955e944fe4bc794236f1d08ce00f52b28e4009For experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| Out of State, Out of State | United States | |
| United States | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |
| United States | HHS | Reciprocal | - |
| United States | Department of Human Services | - | - |