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Individual
CHASE D DERRICK
Active
Individual
CHASE D DERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
R0559
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
R0559
TX
Other
Enumeration date
06/16/2011
Last updated
02/13/2025
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