Individual
DR. DEREK LANE HUSMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 N PARK ST, BRENHAM, TX 77833-2610
(979) 836-6153
Mailing address
600 N PARK ST, BRENHAM, TX 77833-2610
(979) 836-6153
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
34874
AZ
208000000X
Pediatrics Physician
Primary
N1685
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198618402
—
TX
Enumeration date
01/03/2006
Last updated
05/12/2010
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