Individual
DERRICK AUTREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
924 PEACH LN, BURLESON, TX 76028-7090
(682) 706-0328
Mailing address
924 PEACH LN, BURLESON, TX 76028-7090
(682) 706-0328
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
07/10/2013
Last updated
02/03/2020
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