Individual
DR. DEREK JUSTIN DANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18200 KATY FWY, HOUSTON, TX 77094-1285
(832) 227-1779
Mailing address
18200 KATY FWY # WB011551, HOUSTON, TX 77094-1285
(832) 227-1779
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
T7529
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/05/2016
Last updated
08/12/2022
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