Individual
DR. JOSEPH PAUL DERVAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
NASA JOHNSON SPACE CENTER FLIGHT MEDICINE CLINIC, 2101 NASA ROAD ONE, HOUSTON, TX 77058
(281) 483-7999
(281) 483-3392
Mailing address
4510 MASTERS DR, LEAGUE CITY, TX 77573-5805
(281) 334-0223
(281) 334-0223
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J6917
TX
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
J6917
TX
2083A0100X
Aerospace Medicine Physician
J6917
TX
Other
Enumeration date
01/24/2006
Last updated
08/24/2010
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