Individual
DERWYN M TOUPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 921-3431
Mailing address
561 N GRAHAM ST, STEPHENVILLE, TX 76401-3548
(866) 428-1720
(214) 712-2002
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G0212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127453201
—
TX
Enumeration date
03/27/2006
Last updated
05/07/2018
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