Individual
ALEXANDER CHARLES DERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 E BROAD ST, MANSFIELD, TX 76063-5899
(682) 242-2000
Mailing address
2700 E BROAD ST, MANSFIELD, TX 76063-5899
(682) 242-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
V1069
TX
Other
Enumeration date
05/03/2021
Last updated
07/11/2024
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