Individual
JASON MICHAEL DERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2535 FM 1960 RD E, HOUSTON, TX 77073-2505
(281) 443-7524
Mailing address
2535 FM 1960 RD E, HOUSTON, TX 77073-2505
(281) 443-7524
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19534
TX
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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