Individual
DEREK KURT URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 BERGQUIST DR, SUITE 1, LACKLAND A F B, TX 78236-9908
(210) 292-6707
Mailing address
2200 BERGQUIST DR, LACKLAND A F B, TX 78236-9908
(210) 292-6707
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
068200
OH
2085R0202X
Diagnostic Radiology Physician
Primary
50461
TN
Other
Enumeration date
01/05/2006
Last updated
08/20/2024
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