Individual
CHASE D DERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3060 COMMUNICATIONS PKWY STE 201, PLANO, TX 75093-8492
(972) 424-1300
(214) 387-1212
Mailing address
3060 COMMUNICATIONS PKWY STE 201, PLANO, TX 75093-8492
(972) 424-1300
(214) 387-1212
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
R0559
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
R0559
TX
Other
Enumeration date
06/16/2011
Last updated
02/13/2025
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