Individual
DR. THOMAS JOSEPH DERICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7015 HIGHWAY 190 EAST SERVICE RD STE 201, COVINGTON, LA 70433-4960
(985) 893-2223
Mailing address
640 PINEY RIDGE CIR, MADISONVILLE, LA 70447-3100
(985) 705-5032
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1999
LA
Other
Enumeration date
06/18/2024
Last updated
06/27/2024
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